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General NPI Number Information
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NPI Number | 1356781710
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Entity Type | Individual
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Provider Name | YUN FENG M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 915 RIVER RD
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3921
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Country | US
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Telephone | 860-704-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 RESERVOIR RD
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City | CHESHIRE
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State | CT
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Zip | 06410-2966
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Country | US
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Telephone | 971-678-0780
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 055146
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License Number State | CT
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