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General NPI Number Information
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NPI Number | 1851846604
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Entity Type | Organization
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Legal Business Name | JAIME YUN M.D, PC
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 08/22/2016
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Provider Practice Location Address
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Address Line | 139 CENTRE ST SUITE 515
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City | NEW YORK
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State | NY
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Zip | 10013-4552
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Country | US
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Telephone | 917-528-2610
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Fax |
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Provider Business Mailing Address
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Address Line | 326 TRUMBULL RD
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City | MANHASSET
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State | NY
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Zip | 11030-2117
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Country | US
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Telephone | 917-528-2610
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JAIME YUN
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Credential | M.D.
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Telephone | 917-528-2610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 196329
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License Number State | NY
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