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General NPI Number Information
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NPI Number | 1578677860
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Entity Type | Individual
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Provider Name | SEUNG-YIL SONG M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 7930 FROST ST STE 405
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City | SAN DIEGO
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State | CA
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Zip | 92123-2759
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Country | US
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Telephone | 858-571-2811
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Fax | 858-571-2814
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Provider Business Mailing Address
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Address Line | 7930 FROST ST STE 405
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City | SAN DIEGO
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State | CA
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Zip | 92123-2759
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Country | US
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Telephone | 858-571-2811
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Fax | 858-571-2814
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | A25278
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License Number State | CA
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