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General NPI Number Information
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NPI Number | 1700833217
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Entity Type | Individual
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Provider Name | VEE S YOONG PA-C, PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 135 NE 102ND AVE
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City | PORTLAND
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State | OR
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Zip | 97220-4167
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Country | US
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Telephone | 503-894-9005
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Fax | 503-719-4178
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Provider Business Mailing Address
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Address Line | 18 NW 20TH AVE
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City | BATTLE GROUND
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State | WA
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Zip | 98604-4175
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Country | US
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Telephone | 360-952-4457
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Fax | 360-828-7409
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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 | 630
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 258
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 10003812
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 169107
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License Number State | OR
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