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General NPI Number Information
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NPI Number | 1952970972
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Entity Type | Individual
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Provider Name | KYONGHWAN YANG
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Gender | Male
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 4056 WETHERBURN WAY STE 203
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City | NORCROSS
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State | GA
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Zip | 30092-4613
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Country | US
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Telephone | 770-524-5251
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Fax |
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Provider Business Mailing Address
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Address Line | 1356 LANIER VISTA DR
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City | BUFORD
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State | GA
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Zip | 30518-0202
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Country | US
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Telephone | 770-896-1536
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 464
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License Number State | GA
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