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General NPI Number Information
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NPI Number | 1669397295
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Entity Type | Individual
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Provider Name | HEEJU YU PT
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Gender | Female
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | BLDG, 400 WASHINGTON AVE ANJUNG-RI, PAENGSUNG-EUP
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City | PYEONGTAEK
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State | KYUNGGI-DO
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Zip | 17948
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Country | KR
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 61 MADEUL-RO, 13-GIL, DOBONG-GU BLDG C, 4F, #404
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City | SEOUL
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State | SEOUL
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Zip | 01413
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Country | KR
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 052351
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License Number State | NY
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