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General NPI Number Information
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NPI Number | 1285067363
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Entity Type | Individual
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Provider Name | DONG-YING YU-MICHAELSON L.AC.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 06/24/2021
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Provider Practice Location Address
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Address Line | 5066 LAVISTA RD
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City | TUCKER
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State | GA
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Zip | 30084-3500
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Country | US
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Telephone | 770-493-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 664 LAWTON RIDGE DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-8646
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Country | US
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Telephone | 678-805-7575
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 000264
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License Number State | GA
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