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General NPI Number Information
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NPI Number | 1881808343
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Entity Type | Individual
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Provider Name | STANLEY YOO MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 101 E OLNEY AVE SUITE 400
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City | PHILADELPHIA
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State | PA
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Zip | 19120-2421
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Country | US
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Telephone | 215-456-7000
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Fax | 215-254-2599
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Provider Business Mailing Address
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Address Line | 60 TOWNSHIP LINE RD
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City | ELKINS PARK
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State | PA
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Zip | 19027-2220
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Country | US
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Telephone | 215-663-6600
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 229276
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD442445
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License Number State | PA
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