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General NPI Number Information
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NPI Number | 1669716106
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Entity Type | Individual
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Provider Name | SEMMY YUN
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Gender | Female
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Dates
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Enumeration Date | 11/21/2012
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 403 E 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-4972
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Country | US
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Telephone | 212-263-8319
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Fax |
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Provider Business Mailing Address
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Address Line | 15507 29TH AVE
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City | FLUSHING
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State | NY
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Zip | 11354-2404
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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 |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 016282
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License Number State | NY
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