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General NPI Number Information
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NPI Number | 1598212581
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Entity Type | Individual
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Provider Name | YEN UNG
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Gender | Female
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | BG CRAWFORD F. SAMS HEALTH CLINIC UNIT 45011
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City | APO
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State | AP
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Zip | 96343-5011
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Country | US
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Telephone | 01181464074127
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 704 BOX 3309
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City | APO
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State | AP
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Zip | 96338-0014
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Country | US
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Telephone |
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 2286489
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License Number State | MA
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