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General NPI Number Information
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NPI Number | 1205091527
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Entity Type | Individual
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Provider Name | YU-LAN MARY YING M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 03/01/2018
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Provider Practice Location Address
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Address Line | 90 BERGEN STREET SUITE 8100
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City | NEWARK
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State | NJ
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Zip | 07103-2425
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Country | US
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Telephone | 973-972-4588
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Fax |
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Provider Business Mailing Address
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Address Line | 90 BERGEN ST SUITE 8100
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City | NEWARK
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State | NJ
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Zip | 07103-2425
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Country | US
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Telephone | 973-972-4588
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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 | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | 205398
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | 436256
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT182471
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | 25MA09529800
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License Number State | NJ
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