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General NPI Number Information
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NPI Number | 1750826970
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Entity Type | Individual
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Provider Name | RICHARD YOON DPT
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Gender | Male
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Dates
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Enumeration Date | 12/23/2016
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Last Update Date | 12/23/2016
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Provider Practice Location Address
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Address Line | 5630 E SANTA ANA CANYON RD #150
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City | ANAHEIM
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State | CA
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Zip | 92807-3122
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Country | US
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Telephone | 714-282-7701
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E CHAPMAN AVE 31G
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City | PLACENTIA
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State | CA
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Zip | 92870-4650
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Country | US
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Telephone | 562-644-3896
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT292368
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License Number State | CA
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