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NPI 1255542494

NPI 1255542494 : FIA YI M.D. : ATHENS, GA

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General NPI Number Information
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    NPI Number           |    1255542494
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    Entity Type          |    Individual 
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    Provider Name        |    FIA YI M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/26/2007
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    Last Update Date     |    07/19/2024
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Provider Practice Location Address
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    Address Line         |    3320 OLD JEFFERSON RD BLDG 700 
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    City                 |    ATHENS
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    State                |    GA
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    Zip                  |    30607-1465
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    Country              |    US
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    Telephone            |    706-353-2990
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    Fax                  |    706-353-2992
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Provider Business Mailing Address
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    Address Line         |    3320 OLD JEFFERSON RD BLDG 800 
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    City                 |    ATHENS
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    State                |    GA
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    Zip                  |    30607-1400
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    Country              |    US
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    Telephone            |    706-353-2990
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    Fax                  |    706-353-2992
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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        |    208C00000X
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    Taxonomy Name        |    Colon & Rectal Surgery Physician
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    License Number       |    63982
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    01062252A
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    License Number State |    IN
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