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General NPI Number Information
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NPI Number | 1356310254
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Entity Type | Individual
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Provider Name | ZACHARY YUN PT
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 274 W 145TH ST SUITE 310
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City | NEW YORK
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State | NY
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Zip | 10039-4122
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Country | US
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Telephone | 732-763-8112
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Fax |
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Provider Business Mailing Address
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Address Line | 274 W 145TH ST SUITE 310
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City | NEW YORK
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State | NY
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Zip | 10039-4122
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Country | US
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Telephone | 212-368-7800
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Fax | 212-368-7803
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 018970-1
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License Number State | NY
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