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General NPI Number Information
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NPI Number | 1235425489
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Entity Type | Individual
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Provider Name | YIU CHAN
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Gender | Male
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 2580 SHEARN ST
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City | HOUSTON
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State | TX
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Zip | 77007-3967
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Country | US
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Telephone | 713-331-0377
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Fax |
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Provider Business Mailing Address
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Address Line | 21322 GRAND HOLLOW LN
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City | KATY
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State | TX
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Zip | 77450-8798
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Country | US
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Telephone | 832-964-4550
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 38114
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License Number State | TX
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