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General NPI Number Information
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NPI Number | 1336335348
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Entity Type | Organization
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Legal Business Name | YANG, BER-YUH MEDICAL PRACTICE, PC
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 13511 40TH RD STE 3D
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City | FLUSHING
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State | NY
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Zip | 11354-5330
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Country | US
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Telephone | 718-539-8483
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Fax | 718-539-8422
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Provider Business Mailing Address
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Address Line | 13511 40TH RD STE 3D
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City | FLUSHING
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State | NY
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Zip | 11354-5329
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Country | US
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Telephone | 718-539-8483
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Fax | 718-539-8422
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BER-YUH YANG
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Credential | M.D.
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Telephone | 718-539-8483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 195503
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License Number State | NY
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