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General NPI Number Information
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NPI Number | 1083166862
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Entity Type | Individual
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Provider Name | WEIYA OUYANG PA
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Gender | Female
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 410 CHURCH ST SE
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City | MINNEAPOLIS
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State | MN
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Zip | 55455-0222
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Country | US
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Telephone | 612-625-8400
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Fax | 612-677-3211
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Provider Business Mailing Address
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Address Line | 410 CHURCH ST SE
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City | MINNEAPOLIS
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State | MN
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Zip | 55455-0222
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Country | US
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Telephone | 612-624-8400
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Fax | 612-677-3211
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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 | PA5953
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 12698
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License Number State | MN
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