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General NPI Number Information
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NPI Number | 1336971407
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Entity Type | Individual
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Provider Name | PHILIP YIM CRT, ARRT
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Gender | Male
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Dates
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Enumeration Date | 08/16/2024
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 3330 LOMITA BLVD
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City | TORRANCE
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State | CA
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Zip | 90505-5002
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Country | US
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Telephone | 310-517-4675
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Fax |
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Provider Business Mailing Address
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Address Line | 3531 W 185TH ST
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City | TORRANCE
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State | CA
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Zip | 90504-4918
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Country | US
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Telephone | 310-408-5646
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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 | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | RHF40766
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2471V0106X
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Taxonomy Name | Vascular-Interventional Technology Radiologic Technologist
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License Number | RHF40766
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License Number State | CA
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