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General NPI Number Information
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NPI Number | 1194818062
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Entity Type | Organization
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Legal Business Name | WEIPING YAO, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 801 S HAM LN SUITE O
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City | LODI
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State | CA
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Zip | 95242-7501
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Country | US
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Telephone | 209-365-0526
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1319
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City | SALIDA
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State | CA
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Zip | 95368-1319
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WEIPING YAO
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Credential | M.D.
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Telephone | 209-365-0526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A85432
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License Number State | CA
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