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General NPI Number Information
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NPI Number | 1376844662
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Entity Type | Individual
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Provider Name | YEON HEE YOO M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/03/2010
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 200 ICHON-RO, YONGSAN-GU
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City | SEOUL
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State | SOUTH KOREA
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Zip | 04427
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Country | KR
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 200 ICHON-RO, YONGSAN-GU #201
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City | SEOUL
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State | SOUTH KOREA
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Zip | 04427
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Country | KR
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A109121
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License Number State | CA
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