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General NPI Number Information
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NPI Number | 1073043006
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Entity Type | Individual
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Provider Name | YANNIE TONG PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/13/2017
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 5565 W LAS POSITAS BLVD STE 320 STE 320
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City | PLEASANTON
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State | CA
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Zip | 94588-5808
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Country | US
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Telephone | 650-723-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 5565 W LAS POSITAS BLVD STE 320 STE 320
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City | PLEASANTON
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State | CA
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Zip | 94588-5808
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Country | US
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Telephone | 650-723-4000
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 54471
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 54471
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License Number State | CA
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