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General NPI Number Information
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NPI Number | 1356631964
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Entity Type | Individual
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Provider Name | PAULINE YANG
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Gender | Female
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 2801 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-1701
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Country | US
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Telephone | 562-728-5003
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Fax |
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Provider Business Mailing Address
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Address Line | 2653 ELM AVE SUITE 200
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City | LONG BEACH
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State | CA
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Zip | 90806-1652
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Country | US
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Telephone | 562-728-5003
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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 | 163WP0218X
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Taxonomy Name | Pediatric Oncology Registered Nurse
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License Number | 644359
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 18654
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License Number State | CA
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