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General NPI Number Information
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NPI Number | 1295766756
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Entity Type | Individual
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Provider Name | SONG-YIH TU M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 01/22/2012
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Provider Practice Location Address
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Address Line | 701 GROVE RD CAROLINA EMERGENCY MEDICINE
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City | GREENVILLE
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State | SC
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Zip | 29605-5611
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Country | US
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Telephone | 864-455-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 322 RIDGE RESERVE DR
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City | CLOVER
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State | SC
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Zip | 29710-6922
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Country | US
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Telephone | 803-831-1031
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA07819300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 30459
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2008-01886
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 207860
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License Number State | NY
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