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General NPI Number Information
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NPI Number | 1962853929
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Entity Type | Organization
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Legal Business Name | WEILL CORNELL MEDICINE
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Dates
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Enumeration Date | 06/30/2016
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 10280 WARNER AVE APT H
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-1612
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Country | US
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Telephone | 714-964-5867
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Fax |
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Provider Business Mailing Address
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Address Line | 10280 WARNER AVE APT H
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-1612
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Country | US
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Telephone | 714-964-5867
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Fax |
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Authorized Official
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Title or Position | ASSISTANT DEAN FOR CLINICAL LEARNIN
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Name | DR. YOON KANG
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Credential | M.D.
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Telephone | 626-962-5556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | G079499
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License Number State | CA
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