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General NPI Number Information
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NPI Number | 1609046044
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Entity Type | Individual
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Provider Name | PETER YOO M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 999 SAN BERNARDINO RD DEPARTMENT OF RADIOLOGY
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City | UPLAND
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State | CA
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Zip | 91786-4920
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Country | US
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Telephone | 909-985-2811
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Fax | 909-456-1255
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Provider Business Mailing Address
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Address Line | 9320 BASELINE RD SUITE C
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91701-5829
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Country | US
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Telephone | 909-466-4231
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Fax | 909-456-1255
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A99298
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License Number State | CA
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