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General NPI Number Information
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NPI Number | 1447802681
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Entity Type | Individual
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Provider Name | JAEHYEON PARK MD
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Gender | Male
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 1605 MARTIN SPRINGS DR STE 230
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City | ROLLA
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State | MO
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Zip | 65401-2980
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Country | US
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Telephone | 573-458-6326
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 MARTIN SPRINGS DR STE 230
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City | ROLLA
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State | MO
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Zip | 65401-2980
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Country | US
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Telephone | 573-458-6326
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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 | 125-075031
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2022025511
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License Number State | MO
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