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General NPI Number Information
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NPI Number | 1205004983
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Entity Type | Organization
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Legal Business Name | YU CARE MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 1200 S DIAMOND BAR BLVD
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City | DIAMOND BAR
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State | CA
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Zip | 91765-2298
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Country | US
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Telephone | 877-860-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 S DIAMOND BAR BLVD
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City | DIAMOND BAR
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State | CA
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Zip | 91765-2298
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Country | US
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Telephone | 877-860-1717
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANCIS YU
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Credential | MD
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Telephone | 877-860-1717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A35356
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License Number State | CA
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