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General NPI Number Information
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NPI Number | 1689581647
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Entity Type | Individual
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Provider Name | YURI N/A JUNG
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Gender | Male
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 471 GODWIN AVE
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City | MIDLAND PARK
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State | NJ
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Zip | 07432-1539
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Country | US
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Telephone | 201-444-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 223 LINCOLN AVE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-4901
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Country | US
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Telephone | 281-740-8107
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State | NJ
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