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NPI 1629326764

NPI 1629326764 : KAREN YI DC PC : FLUSHING, NY

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General NPI Number Information
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    NPI Number           |    1629326764
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    Entity Type          |    Organization 
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    Legal Business Name  |    KAREN YI DC PC 
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Dates
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    Enumeration Date     |    08/21/2012
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    Last Update Date     |    08/21/2012
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Provider Practice Location Address
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    Address Line         |    14627 BEECH AVE SUITE 1C
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    City                 |    FLUSHING
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    State                |    NY
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    Zip                  |    11355-2172
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    Country              |    US
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    Telephone            |    646-429-2912
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14627 BEECH AVE SUITE 1C
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    City                 |    FLUSHING
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    State                |    NY
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    Zip                  |    11355-2172
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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    |    PRESIDENT
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    Name                 |     KAREN  YI 
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    Credential           |    DC
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    Telephone            |    646-429-2912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    X011599-1
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    License Number State |    NY
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