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General NPI Number Information
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NPI Number | 1972102259
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Entity Type | Individual
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Provider Name | CINTHIA YONG-JOO DO
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Gender | Female
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 6670 ALTON PKWY BLDG 1
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City | IRVINE
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State | CA
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Zip | 92618-3734
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Country | US
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Telephone | 949-932-6802
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Fax |
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Provider Business Mailing Address
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Address Line | 6670 ALTON PKWY
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City | IRVINE
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State | CA
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Zip | 92618-3734
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Country | US
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Telephone | 714-742-3002
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 14470
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License Number State | CA
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