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General NPI Number Information
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NPI Number | 1245850189
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Entity Type | Organization
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Legal Business Name | YANG INTERNAL MEDICINE SERVICE
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 1500 S MILL AVE
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City | TEMPE
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State | AZ
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Zip | 85281-6699
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Country | US
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Telephone | 480-784-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 3150 W DRAKE ST
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City | CHANDLER
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State | AZ
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Zip | 85226-2311
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HOSPITALIST
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Name | YANG XUAN
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Credential | DO
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Telephone | 602-235-0519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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