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General NPI Number Information
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NPI Number | 1205321965
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Entity Type | Organization
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Legal Business Name | CHIEN SHIEN YANG MD INC
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 11/06/2018
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Provider Practice Location Address
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Address Line | 1860 MOWRY AVE STE 301A
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City | FREMONT
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State | CA
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Zip | 94538
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Country | US
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Telephone | 415-655-0952
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Fax |
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Provider Business Mailing Address
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Address Line | 39120 ARGONAUT WAY STE 811
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City | FREMONT
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State | CA
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Zip | 94538-1304
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Country | US
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Telephone | 415-655-0952
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | CHIEN SHIEN YANG
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Credential |
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Telephone | 415-655-0952
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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 |
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License Number State |
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