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General NPI Number Information
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NPI Number | 1912215435
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Entity Type | Organization
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Legal Business Name | SOON YULL KWUN,M.D.,INC
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 3131 SANTA ANITA AVE 105
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City | EL MONTE
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State | CA
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Zip | 91733-1369
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Country | US
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Telephone | 626-442-2151
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Fax | 626-442-1666
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Provider Business Mailing Address
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Address Line | 3131 SANTA ANITA AVE 105
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City | EL MONTE
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State | CA
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Zip | 91733-1369
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Country | US
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Telephone | 626-442-2151
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Fax | 626-442-1666
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Authorized Official
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Title or Position | PRESIDENT
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Name | SOON YULL KWUN
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Credential | M.D.
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Telephone | 626-442-2151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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