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General NPI Number Information
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NPI Number | 1588186696
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Entity Type | Individual
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Provider Name | JOHN KIM YUNG JR. CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 25 N ADOLPH ST
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City | AKRON
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State | OH
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Zip | 44304
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Country | US
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Telephone | 216-513-1085
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Fax |
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Provider Business Mailing Address
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Address Line | 329 SUMMERHILL DR
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City | AURORA
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State | OH
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Zip | 44202-8013
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Country | US
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Telephone | 216-513-1085
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 9474005
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0020392
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License Number State | OH
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