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General NPI Number Information
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NPI Number | 1053490268
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Entity Type | Individual
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Provider Name | DANIEL J. YOO M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 1601 NW 114TH ST SUITE 142
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City | DES MOINES
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State | IA
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Zip | 50325-7007
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Country | US
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Telephone | 515-222-3151
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Fax | 515-226-2561
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Provider Business Mailing Address
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Address Line | 1601 NW 114TH ST SUITE 142
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City | DES MOINES
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State | IA
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Zip | 50325-7007
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Country | US
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Telephone | 515-222-3151
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Fax | 515-226-2561
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 29278
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 37185
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License Number State | IA
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