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General NPI Number Information
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NPI Number | 1144506585
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Entity Type | Organization
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Legal Business Name | HEALTHY LIFE MEDICAL PC
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Dates
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Enumeration Date | 10/31/2011
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 41 ADAMS DR
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City | BELLE MEAD
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State | NJ
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Zip | 08502-4618
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Country | US
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Telephone | 609-755-0333
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Fax |
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Provider Business Mailing Address
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Address Line | 41 ADAMS DR
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City | BELLE MEAD
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State | NJ
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Zip | 08502-4618
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Country | US
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Telephone | 609-755-0333
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. FRAN FENG YU
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Credential | M.D.
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Telephone | 908-938-8313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 25MA08670800
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License Number State | NJ
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