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General NPI Number Information
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NPI Number | 1881916880
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Entity Type | Individual
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Provider Name | JASON W. YIM L.A.C
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Gender | Male
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 7515 NEWMARKET DR
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City | BETHESDA
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State | MD
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Zip | 20817-6621
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Country | US
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Telephone | 240-271-1245
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Fax | 301-588-3615
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Provider Business Mailing Address
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Address Line | 7515 NEWMARKET DR
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City | BETHESDA
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State | MD
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Zip | 20817-6621
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Country | US
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Telephone | 240-271-1245
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Fax | 301-588-3615
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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 | U00846
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License Number State | MD
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