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General NPI Number Information
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NPI Number | 1285016170
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Entity Type | Individual
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Provider Name | YUJI YAMADA MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2015
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 1111 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10025-1716
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Country | US
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Telephone | 212-536-1355
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Fax |
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Provider Business Mailing Address
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Address Line | 353 E 17TH ST FL 2 ROOM 223
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City | NEW YORK
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State | NY
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Zip | 10003-3821
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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 |
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 313384
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License Number State | NY
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