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General NPI Number Information
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NPI Number | 1043605603
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Entity Type | Individual
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Provider Name | MINGSHANG YU
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Gender | Male
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 15714 20TH RD
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City | WHITESTONE
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State | NY
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Zip | 11357-3855
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Country | US
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Telephone | 646-867-9686
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Fax |
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Provider Business Mailing Address
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Address Line | 6622 12TH AVE APT 2R
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City | BROOKLYN
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State | NY
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Zip | 11219-5910
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Country | US
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Telephone | 646-867-9686
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Fax | 347-557-8397
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 038274
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License Number State | NY
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