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General NPI Number Information
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NPI Number | 1740345669
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Entity Type | Organization
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Legal Business Name | RAYMOND L YUNG MD PC
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 217 GRAND STREET 6TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10013-4223
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Country | US
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Telephone | 212-625-8069
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Fax | 212-431-8246
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Provider Business Mailing Address
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Address Line | 217 GRAND STREET 6TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10013-4223
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Country | US
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Telephone | 212-625-8069
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Fax | 212-431-8246
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAYMOND L YUNG
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Credential | MD
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Telephone | 212-625-8069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | 1855781
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License Number State | NY
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