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General NPI Number Information
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NPI Number | 1295013498
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Entity Type | Individual
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Provider Name | JEFF K YU DVM
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Gender | Male
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 12/23/2014
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Provider Practice Location Address
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Address Line | 11850 ABERDEEN ST NE
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City | BLAINE
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State | MN
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Zip | 55449
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Country | US
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Telephone | 763-754-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 11850 ABERDEEN ST NE
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City | ANDOVER
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State | MN
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Zip | 55304
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Country | US
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Telephone | 763-754-5000
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 8059
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 16574
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 04713
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 0301201666
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License Number State | VA
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