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General NPI Number Information
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NPI Number | 1194943332
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Entity Type | Individual
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Provider Name | MIN YU MD
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 111 W HIGH ST SUITE 204
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City | ELKTON
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State | MD
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Zip | 21921-5529
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Country | US
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Telephone | 410-620-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 111 W HIGH ST SUITE 204
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City | ELKTON
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State | MD
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Zip | 21921-5529
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Country | US
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Telephone | 410-620-0008
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD430774
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D70132
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA08238100
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | D0070132
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License Number State | MD
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