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General NPI Number Information
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NPI Number | 1477848273
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Entity Type | Individual
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Provider Name | YOON KANG
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Gender | Female
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 1475 41ST AVE
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City | CAPITOLA
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State | CA
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Zip | 95010-2908
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Country | US
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Telephone | 831-476-7282
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Fax |
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Provider Business Mailing Address
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Address Line | 321 FLORA LN
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-4976
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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 | 55518
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License Number State | CA
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