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General NPI Number Information
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NPI Number | 1265079438
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Entity Type | Individual
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Provider Name | ROBIN YI DPT
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Gender | Male
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 5832 BEACH BLVD STE 114
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City | BUENA PARK
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State | CA
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Zip | 90621-2010
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Country | US
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Telephone | 714-707-2699
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Fax | 714-784-2160
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Provider Business Mailing Address
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Address Line | 12465 LEWIS ST STE 101
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City | GARDEN GROVE
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State | CA
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Zip | 92840-4658
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Country | US
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Telephone | 714-703-8477
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Fax | 714-703-8157
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT297805
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License Number State | CA
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