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General NPI Number Information
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NPI Number | 1689021289
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Entity Type | Organization
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Legal Business Name | DYJ LLC
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 14218 38TH AVE STE CFD
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City | FLUSHING
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State | NY
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Zip | 11354-5554
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Country | US
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Telephone | 718-886-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 14218 38TH AVE STE CFD
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City | FLUSHING
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State | NY
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Zip | 11354-5554
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Country | US
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Telephone | 718-886-2288
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DANIEL YUN
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Credential |
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Telephone | 718-886-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | NY
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