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General NPI Number Information
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NPI Number | 1063990257
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Entity Type | Organization
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Legal Business Name | YULIN MEDICINE PLLC
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 08/19/2019
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Provider Practice Location Address
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Address Line | 13329 41ST RD STE 2D
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City | FLUSHING
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State | NY
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Zip | 11355-3695
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Country | US
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Telephone | 917-908-0338
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Fax | 855-860-2188
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Provider Business Mailing Address
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Address Line | 43 SPRUCE LN
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1919
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Country | US
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Telephone | 917-908-0338
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Fax | 855-860-2188
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Authorized Official
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Title or Position | OWNER
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Name | DR. YULIN WANG
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Credential | MD
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Telephone | 917-908-0338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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