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General NPI Number Information
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NPI Number | 1588533475
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Entity Type | Individual
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Provider Name | KATIE YUNG MSN, APRN, AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 162 E 78TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10075-0406
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Country | US
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Telephone | 212-495-9129
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Fax |
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Provider Business Mailing Address
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Address Line | 77 COMMERCIAL ST APT 413
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City | BROOKLYN
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State | NY
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Zip | 11222-8036
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Country | US
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Telephone | 757-478-8783
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | F312566-01
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License Number State | NY
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