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General NPI Number Information
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NPI Number | 1033347141
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Entity Type | Individual
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Provider Name | YIFAN GUO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2009
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 301 RIVERVIEW AVE STE 400
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City | NORFOLK
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State | VA
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Zip | 23510-1065
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Country | US
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Telephone | 757-252-1700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 751069 ECU PHYSICIANS
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City | CHARLOTTE
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State | NC
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Zip | 28275-1069
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Country | US
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Telephone |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2016-01989
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | LP01786
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | LP01786
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License Number State | RI
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