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General NPI Number Information
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NPI Number | 1215605530
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Entity Type | Organization
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Legal Business Name | LOUIS YANG MD
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 950 NORTHGATE DR STE 209
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City | SAN RAFAEL
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State | CA
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Zip | 94903-3433
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Country | US
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Telephone | 415-479-2373
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Fax | 415-472-6225
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Provider Business Mailing Address
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Address Line | 950 NORTHGATE DR STE 209
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City | SAN RAFAEL
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State | CA
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Zip | 94903-3433
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Country | US
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Telephone | 415-479-2373
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Fax | 415-472-6225
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | DR. LOUIS JU FANG YANG
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Credential | MD
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Telephone | 206-399-1273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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