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General NPI Number Information
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NPI Number | 1881456028
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Entity Type | Organization
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Legal Business Name | THOMAS YOUM MD LLC
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 34 S DEAN ST STE 202
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3515
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Country | US
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Telephone | 212-348-3636
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 56
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City | ITHACA
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State | NY
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Zip | 14851-0056
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Country | US
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Telephone | 212-348-3636
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Fax |
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Authorized Official
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Title or Position | MD
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Name | THOMAS YOUM
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Credential | MD
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Telephone | 212-348-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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