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General NPI Number Information
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NPI Number | 1356568745
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Entity Type | Organization
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Legal Business Name | C. J. YOON, M.D., PC
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 12/03/2019
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Provider Practice Location Address
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Address Line | 8701 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7035
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Country | US
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Telephone | 219-738-5775
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Fax | 219-736-5856
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Provider Business Mailing Address
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Address Line | 833 W LINCOLN HWY SUITE 200W
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City | SCHERERVILLE
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State | IN
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Zip | 46375-1683
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Country | US
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Telephone | 219-934-5300
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Fax | 219-934-5389
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Authorized Official
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Title or Position | OWNER
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Name | DR. C.J. J YOON
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Credential | M.D., P.C.
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Telephone | 219-738-5775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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