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General NPI Number Information
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NPI Number | 1285223404
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Entity Type | Organization
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Legal Business Name | CAROLYN B YANG MD PC
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 5050 NE HOYT ST STE 660
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City | PORTLAND
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State | OR
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Zip | 97213-2990
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Country | US
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Telephone | 503-239-8430
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Fax | 503-235-9342
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Provider Business Mailing Address
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Address Line | 5050 NE HOYT ST STE 660
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City | PORTLAND
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State | OR
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Zip | 97213-2990
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Country | US
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Telephone | 503-239-8430
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Fax | 503-235-9342
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. LAURA DIMAGGIO
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Credential |
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Telephone | 503-239-8430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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