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General NPI Number Information
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NPI Number | 1912214214
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Entity Type | Organization
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Legal Business Name | CAROLINE YONG, MD, INC.
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 2645 OCEAN AVE #104
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City | SAN FRANCISCO
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State | CA
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Zip | 94132
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Country | US
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Telephone | 415-587-8932
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Fax | 415-587-8379
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Provider Business Mailing Address
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Address Line | 2645 OCEAN AVE #104
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City | SAN FRANCISCO
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State | CA
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Zip | 94132
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Country | US
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Telephone | 415-587-8932
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Fax | 415-587-8379
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | CAROLINE YONG
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Credential | M.D.
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Telephone | 415-587-8932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G063994
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License Number State | CA
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