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NPI 1417930363

NPI 1417930363 : HEE J. YOON M.D. : WORTHINGTON, MN

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General NPI Number Information
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    NPI Number           |    1417930363
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    Entity Type          |    Individual 
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    Provider Name        |    HEE J. YOON M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/23/2005
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    Last Update Date     |    02/22/2018
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Provider Practice Location Address
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    Address Line         |    1018 6TH AVE 
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    City                 |    WORTHINGTON
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    State                |    MN
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    Zip                  |    56187-2202
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    Country              |    US
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    Telephone            |    507-343-6100
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    Fax                  |    507-372-3620
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5074 
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    City                 |    SIOUX FALLS
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    State                |    SD
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    Zip                  |    57117-5074
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    Country              |    US
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    Telephone            |    605-328-6585
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    Fax                  |    605-328-6512
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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        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    53243
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    License Number State |    MN
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