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General NPI Number Information
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NPI Number | 1346606605
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Entity Type | Organization
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Legal Business Name | SUNG S. YANG, MD, INC.
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Dates
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Enumeration Date | 01/02/2016
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Last Update Date | 01/02/2016
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Provider Practice Location Address
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Address Line | 2155 KALAKAUA AVE STE 308
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City | HONOLULU
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State | HI
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Zip | 96815-2354
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Country | US
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Telephone | 808-342-6305
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 88084
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City | HONOLULU
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State | HI
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Zip | 96830-8084
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Country | US
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Telephone | 201-978-3900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUNG S YANG
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Credential | MD
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Telephone | 201-978-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 14745
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License Number State | HI
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