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General NPI Number Information
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NPI Number | 1942422886
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Entity Type | Individual
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Provider Name | JOONG YONG KWON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 1211 SHERWOOD PARK DR NE STE B
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City | GAINESVILLE
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State | GA
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Zip | 30501-3444
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Country | US
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Telephone | 770-219-4840
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 742616
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City | ATLANTA
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State | GA
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Zip | 30374-2616
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Country | US
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Telephone | 770-219-8420
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Fax | 770-219-8440
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 40979
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 27313
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 99764
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | R9800
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 2010005180
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | R9800
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License Number State | TX
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