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General NPI Number Information
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NPI Number | 1023345618
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Entity Type | Organization
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Legal Business Name | YU JEN LAI, MD.,PLLC
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 830 PARK AVE
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City | HUNTINGTON
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State | NY
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Zip | 11743-4543
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Country | US
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Telephone | 631-271-5800
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Fax | 613-271-5807
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Provider Business Mailing Address
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Address Line | 14 HARMONY LN
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City | SETAUKET
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State | NY
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Zip | 11733-3814
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Country | US
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Telephone | 631-689-3960
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Fax | 631-689-3960
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Authorized Official
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Title or Position | OWNER
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Name | DR. YU JEN LAI
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Credential | MD
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Telephone | 631-689-3960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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