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General NPI Number Information
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NPI Number | 1770299562
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Entity Type | Individual
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Provider Name | JINYOUNG JANG
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Gender | Female
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 723 ELM ST STE 26
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City | WINNETKA
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State | IL
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Zip | 60093-2518
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Country | US
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Telephone | 312-335-9330
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Fax |
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Provider Business Mailing Address
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Address Line | 1862 KIEST AVE
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City | NORTHBROOK
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State | IL
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Zip | 60062-3639
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Country | US
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Telephone | 469-427-3418
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198.001610
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License Number State | IL
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