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General NPI Number Information
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NPI Number | 1811973878
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Entity Type | Individual
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Provider Name | JOANNE B YOON OD
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Gender | Female
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 11900 SOUTH ST STE 121
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City | CERRITOS
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State | CA
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Zip | 90703-6800
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Country | US
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Telephone | 562-809-4041
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 THREEWOODS LN
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City | FULLERTON
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State | CA
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Zip | 92831-1060
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Country | US
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Telephone | 714-928-0927
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 12676
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 12676T
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License Number State | CA
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