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General NPI Number Information
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NPI Number | 1255534699
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Entity Type | Individual
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Provider Name | JOSE YLAGAN SEE LAC, LMT
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Gender | Male
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4001 E BASELINE RD STE 205
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City | GILBERT
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State | AZ
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Zip | 85234-2743
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Country | US
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Telephone | 480-892-1888
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Fax | 480-649-0942
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Provider Business Mailing Address
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Address Line | PO BOX 2218
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City | HIGLEY
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State | AZ
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Zip | 85236-2218
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Country | US
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Telephone | 480-280-0137
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Fax | 480-649-0942
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0529
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License Number State | AZ
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