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General NPI Number Information
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NPI Number | 1326068255
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Entity Type | Organization
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Legal Business Name | ANTONIO V. YU JR., M.D.,P.C.
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13945 W GRAND AVE SUITE A 102
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City | SURPRISE
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State | AZ
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Zip | 85374-2437
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Country | US
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Telephone | 623-556-2252
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Fax | 623-556-2262
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Provider Business Mailing Address
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Address Line | 13945 W GRAND AVE SUITE A 102
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City | SURPRISE
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State | AZ
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Zip | 85374-2437
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Country | US
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Telephone | 623-556-2252
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Fax | 623-556-2262
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Authorized Official
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Title or Position | PRESDENT
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Name | DR. ANTONIO V YU JR.
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Credential | M.D.
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Telephone | 623-556-2252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 23004
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License Number State | AZ
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