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General NPI Number Information
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NPI Number | 1699157263
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Entity Type | Individual
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Provider Name | YISUK YOON N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 06/19/2015
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Provider Practice Location Address
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Address Line | 21975 75TH AVE. FL 2ND
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-3044
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Country | US
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Telephone | 646-637-8552
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Fax |
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Provider Business Mailing Address
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Address Line | 21975 75TH AVE. FL 2ND
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-3044
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Country | US
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Telephone | 646-637-8552
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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 | 364SM0705X
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Taxonomy Name | Medical-Surgical Clinical Nurse Specialist
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License Number | F306946-1
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License Number State | NY
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