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General NPI Number Information
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NPI Number | 1295036721
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Entity Type | Organization
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Legal Business Name | TIMOTHY GUAN-TYNG YEH M D INC
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 1751 W ROMNEYA DR SUITE NUMBER A
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City | ANAHEIM
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State | CA
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Zip | 92801-1815
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Country | US
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Telephone | 714-956-4958
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Fax | 714-400-0488
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Provider Business Mailing Address
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Address Line | 2620 SARATOGA DR
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City | FULLERTON
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State | CA
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Zip | 92835-4212
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Country | US
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Telephone | 949-378-2882
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Fax | 714-400-0488
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY G YEH
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Credential | M.D.
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Telephone | 714-956-4958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | G81650
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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