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General NPI Number Information
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NPI Number | 1306426267
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Entity Type | Individual
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Provider Name | YEA EUN HAN DO
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Gender | Female
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 333 N SANTA ROSA
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3108
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Country | US
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Telephone | 210-704-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 593 EDDY ST
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City | PROVIDENCE
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State | RI
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Zip | 02903-4923
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Country | US
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Telephone | 401-793-2695
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | V7223
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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