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General NPI Number Information
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NPI Number | 1558804476
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Entity Type | Individual
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Provider Name | JEONG-IN YUN PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/25/2016
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Last Update Date | 11/25/2016
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Provider Practice Location Address
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Address Line | 260 W LEHIGH AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19133-3425
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Country | US
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Telephone | 215-425-3784
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 ARBOR WAY
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-2223
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Country | US
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Telephone | 267-918-2469
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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 | RP439676
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License Number State | PA
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