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General NPI Number Information
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NPI Number | 1154732303
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Entity Type | Organization
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Legal Business Name | JENNY YU, DPM, INC.
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Dates
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Enumeration Date | 05/09/2014
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 13690 E 14TH ST SUITE 220
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City | SAN LEANDRO
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State | CA
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Zip | 94578-2582
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Country | US
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Telephone | 510-614-5663
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Fax | 510-614-2286
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Provider Business Mailing Address
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Address Line | 13690 E 14TH ST SUITE 220
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City | SAN LEANDRO
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State | CA
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Zip | 94578-2582
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Country | US
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Telephone | 510-614-5663
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Fax | 510-614-2286
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Authorized Official
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Title or Position | PODIATRIST/OWNER
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Name | DR. JENNY YU
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Credential | DPM, MPH
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Telephone | 510-614-5633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E5086
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License Number State | CA
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