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General NPI Number Information
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NPI Number | 1962719195
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Entity Type | Organization
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Legal Business Name | THY & ASSOCIATES, INC.
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 714 S BUTTERFIELD RD
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City | MUNDELEIN
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State | IL
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Zip | 60060-9458
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Country | US
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Telephone | 847-362-6099
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Fax | 224-433-6711
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Provider Business Mailing Address
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Address Line | 714 S BUTTERFIELD RD
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City | MUNDELEIN
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State | IL
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Zip | 60060-9458
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Country | US
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Telephone | 847-362-6099
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Fax | 224-433-6711
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TONY HYUN YONG
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Credential | D.M.D.
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Telephone | 847-362-6099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019023062
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License Number State | IL
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