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General NPI Number Information
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NPI Number | 1376501924
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Entity Type | Individual
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Provider Name | KAREN YEH KWAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 1441 S MIDLOTHIAN PKWY SUITE 100
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-5591
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Country | US
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Telephone | 469-800-9600
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Fax | 469-800-9610
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Provider Business Mailing Address
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Address Line | 1441 S MIDLOTHIAN PKWY SUITE 100
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-5591
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Country | US
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Telephone | 469-800-9600
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Fax | 469-800-9610
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K3661
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License Number State | TX
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