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General NPI Number Information
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NPI Number | 1326211004
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Entity Type | Individual
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Provider Name | DAVID YANG R.PH.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | US HWY 160 & NAVAJO ROUTE 35
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City | RED MESA
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State | AZ
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Zip | 86514
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Country | US
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Telephone | 928-656-5270
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Fax |
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Provider Business Mailing Address
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Address Line | HC 61 BOX 3010
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City | TEEC NOS POS
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State | AZ
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Zip | 86514-9604
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17421
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License Number State | CO
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