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General NPI Number Information
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NPI Number | 1083175038
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Entity Type | Individual
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Provider Name | PETER HANS YANGGA MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2019
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 525 W 36TH ST, FLOOR 6
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City | NEW YORK
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State | NY
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Zip | 10018
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Country | US
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Telephone | 212-786-7727
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Fax | 646-638-1440
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Provider Business Mailing Address
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Address Line | 525 W 36TH ST, FLOOR 6
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City | NEW YORK
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State | NY
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Zip | 10018
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Country | US
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Telephone | 212-786-7727
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Fax | 646-638-1440
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 328209
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License Number State | NY
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