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General NPI Number Information
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NPI Number | 1205624558
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Entity Type | Individual
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Provider Name | QIAN YU MD
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Gender | Male
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1224 SW 16TH AVE APT C
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City | GAINESVILLE
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State | FL
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Zip | 32601-0410
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Country | US
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Telephone | 347-277-4749
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Fax |
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Provider Business Mailing Address
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Address Line | 1224 SW 16TH AVE APT C
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City | GAINESVILLE
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State | FL
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Zip | 32601-0410
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Country | US
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Telephone | 347-277-4749
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 2024034280
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License Number State | MO
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Taxonomy #2
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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 | HSE38841
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License Number State | FL
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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 | R80591
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License Number State | AZ
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