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General NPI Number Information
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NPI Number | 1649373903
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Entity Type | Individual
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Provider Name | LAURA YUN M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 07/08/2009
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Provider Practice Location Address
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Address Line | 676 N. SAINT CLAIR STREET SUITE 1400
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City | CHICAGO
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State | IL
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Zip | 60611
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Country | US
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Telephone | 857-891-1575
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Fax |
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Provider Business Mailing Address
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Address Line | 505 N MCCLURG CT #1904
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City | CHICAGO
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State | IL
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Zip | 60611-5420
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Country | US
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Telephone | 857-891-1575
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A90627
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036.120543
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License Number State | IL
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