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General NPI Number Information
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NPI Number | 1184207953
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Entity Type | Organization
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Legal Business Name | MICHAEL WAIHO YU
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 5458 ENCINITA AVE
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City | TEMPLE CITY
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State | CA
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Zip | 91780-3116
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Country | US
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Telephone | 626-236-2706
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Fax |
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Provider Business Mailing Address
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Address Line | 5458 ENCINITA AVE
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City | TEMPLE CITY
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State | CA
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Zip | 91780-3116
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Country | US
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Telephone | 626-236-2706
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL YU
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Credential | MS, MBA, MLS (ASCP)
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Telephone | 626-236-2706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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