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General NPI Number Information
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NPI Number | 1356510853
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Entity Type | Individual
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Provider Name | JONGOK YUN NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 1 PENN PLZ
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City | NEW YORK
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State | NY
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Zip | 10119-0002
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Country | US
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Telephone | 347-920-1468
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Fax | 844-701-3047
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Provider Business Mailing Address
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Address Line | 1 PENN PLZ FL 8
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City | NEW YORK
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State | NY
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Zip | 10119-0899
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Country | US
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Telephone | 347-920-1468
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Fax | 844-701-3047
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F334679-1
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License Number State | NY
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