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General NPI Number Information
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NPI Number | 1477345940
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Entity Type | Individual
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Provider Name | YEOUN KO
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Gender | Female
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 8717 S TACOMA WAY
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City | TACOMA
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State | WA
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Zip | 98499-4544
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Country | US
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Telephone | 253-588-9951
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Fax |
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Provider Business Mailing Address
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Address Line | 443 RAMSAY WAY APT 235
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City | KENT
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State | WA
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Zip | 98032-5014
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Country | US
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Telephone | 206-678-9707
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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 | 122400000X
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Taxonomy Name | Denturist
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License Number |
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License Number State |
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