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General NPI Number Information
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NPI Number | 1255779237
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Entity Type | Individual
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Provider Name | THOUA S YANG CMT
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Gender | Female
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 8703 SANTA FE DR
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City | THORNTON
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State | CO
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Zip | 80260-4313
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Country | US
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Telephone | 720-940-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 8703 SANTA FE DRIVE
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City | THORNTON
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State | CO
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Zip | 80260
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Country | US
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Telephone | 720-940-3131
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MT0012241
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License Number State | CO
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