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General NPI Number Information
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NPI Number | 1548523764
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Entity Type | Individual
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Provider Name | JENNIFER YOUNHEE YOON D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 4722 N SOUTHSIDE PLAZA ST
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City | RICHMOND
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State | VA
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Zip | 23224-1742
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Country | US
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Telephone | 804-533-7634
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Fax |
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Provider Business Mailing Address
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Address Line | 11629 COACHMANS CARRIAGE PL
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City | GLEN ALLEN
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State | VA
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Zip | 23059-8511
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Country | US
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Telephone | 646-265-6821
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1856036
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN1856036
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401416485
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License Number State | VA
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