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General NPI Number Information
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NPI Number | 1285404913
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Entity Type | Individual
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Provider Name | YE SEUL CHAE NP
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Gender | Female
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 13421 MAPLE AVE FL 1
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City | FLUSHING
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State | NY
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Zip | 11355-4527
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Country | US
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Telephone | 718-886-5253
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Fax |
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Provider Business Mailing Address
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Address Line | 14432 35TH AVE APT D42
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City | FLUSHING
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State | NY
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Zip | 11354-3675
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 350225
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License Number State | NY
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