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General NPI Number Information
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NPI Number | 1710168307
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Entity Type | Individual
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Provider Name | KIN YIN YUNG RPH
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Gender | Male
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Dates
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Enumeration Date | 11/25/2007
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 6656 GRAND AVE
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City | MASPETH
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State | NY
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Zip | 11378-2531
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Country | US
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Telephone | 718-672-9465
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Fax | 718-899-3962
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Provider Business Mailing Address
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Address Line | 13610 38TH AVE
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City | FLUSHING
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State | NY
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Zip | 11354-4113
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Country | US
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Telephone | 718-353-5737
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Fax | 718-353-6197
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 042342
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License Number State | NY
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