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General NPI Number Information
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NPI Number | 1457414989
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Entity Type | Individual
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Provider Name | DENNIS YUN MD
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 13160 MINDANAO WAY STE 300
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6393
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Country | US
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Telephone | 855-985-7246
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Fax | 855-985-7246
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Provider Business Mailing Address
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Address Line | 5561 VIA PORTORA UNIT B
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-6958
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Country | US
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Telephone | 855-985-7246
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Fax | 855-985-7246
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A93764
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | A93764
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License Number State | CA
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