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General NPI Number Information
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NPI Number | 1982287496
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Entity Type | Organization
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Legal Business Name | MED FIRST, LLC
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 07/15/2021
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Provider Practice Location Address
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Address Line | 56 CARRIAGE OAKS DR
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City | TYRONE
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State | GA
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Zip | 30290-1684
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Country | US
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Telephone | 316-570-0392
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Fax |
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Provider Business Mailing Address
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Address Line | 160 PARK HAVEN LN
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City | TYRONE
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State | GA
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Zip | 30290-1722
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Country | US
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Telephone | 316-570-0392
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Fax |
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Authorized Official
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Title or Position | ATTENDING PHYSICIAN
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Name | DONGJIN YOON
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Credential | M.D.
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Telephone | 316-570-0392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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