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General NPI Number Information
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NPI Number | 1023168291
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Entity Type | Individual
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Provider Name | MR. VANG T YANG
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 4445 E INYO ST
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City | FRESNO
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State | CA
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Zip | 93702-2977
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Country | US
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Telephone | 559-453-3509
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Fax | 559-453-9049
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Provider Business Mailing Address
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Address Line | 2423 N SONORA AVE
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City | FRESNO
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State | CA
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Zip | 93722-6849
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Country | US
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Telephone | 559-271-4596
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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