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General NPI Number Information
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NPI Number | 1639703622
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Entity Type | Organization
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Legal Business Name | DR YOON PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 609 FARMINGTON AVE STE LL2
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City | HARTFORD
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State | CT
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Zip | 06105-3081
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Country | US
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Telephone | 860-937-2934
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Fax |
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Provider Business Mailing Address
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Address Line | 609 FARMINGTON AVE STE LL2
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City | HARTFORD
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State | CT
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Zip | 06105-3081
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Country | US
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Telephone | 860-937-2934
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JIWON YOON
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Credential |
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Telephone | 781-296-1088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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