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General NPI Number Information
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NPI Number | 1356980841
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Entity Type | Individual
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Provider Name | HSIAO-YI YANG OD
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Gender | Female
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 1065 BREA MALL SPC 2111A
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City | BREA
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State | CA
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Zip | 92821-5718
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Country | US
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Telephone | 714-674-5040
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Fax |
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Provider Business Mailing Address
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Address Line | 27 WAGON WHEEL ST
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City | PHILLIPS RANCH
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State | CA
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Zip | 91766-7601
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Country | US
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Telephone | 909-767-3379
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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 | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | 34477TLG
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 34477TLG
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License Number State | CA
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