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General NPI Number Information
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NPI Number | 1700685237
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Entity Type | Individual
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Provider Name | YONG KANG
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Gender | Male
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Dates
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Enumeration Date | 03/08/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 120 SYLVAN AVE STE 102
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-2505
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Country | US
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Telephone | 201-886-0077
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Fax |
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Provider Business Mailing Address
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Address Line | 1231 ALICIA AVE
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City | TEANECK
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State | NJ
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Zip | 07666-4927
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Country | US
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Telephone | 910-232-3849
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 18KT01227800
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License Number State | NJ
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