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General NPI Number Information
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NPI Number | 1417474362
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Entity Type | Individual
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Provider Name | SEOK YOON
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Gender | Male
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 3704 UNION ST
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City | FLUSHING
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State | NY
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Zip | 11354-4118
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Country | US
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Telephone | 718-321-2526
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Fax |
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Provider Business Mailing Address
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Address Line | 3334 28TH ST APT 1B
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City | ASTORIA
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State | NY
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Zip | 11106-3444
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Country | US
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 070471
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | PI45598
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License Number State | ME
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