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General NPI Number Information
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NPI Number | 1346386364
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Entity Type | Organization
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Legal Business Name | KAREN A YEH, M.D., LLC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2258 WRIGHTSBORO RD SUITE 430
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City | AUGUSTA
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State | GA
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Zip | 30904-4887
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Country | US
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Telephone | 706-434-0130
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Fax | 706-434-0131
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Provider Business Mailing Address
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Address Line | PO BOX 3346
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City | AUGUSTA
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State | GA
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Zip | 30914-3346
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Country | US
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Telephone | 706-434-0130
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Fax | 706-434-0131
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAREN A YEH
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Credential | M.D.
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Telephone | 706-434-0130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 036910
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License Number State | GA
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