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General NPI Number Information
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NPI Number | 1376698662
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Entity Type | Individual
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Provider Name | ALEXANDER S YU D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 501 W EMMA AVE STE A
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City | SPRINGDALE
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State | AR
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Zip | 72764-4417
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Country | US
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Telephone | 479-365-2488
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 NW 7TH ST
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City | BENTONVILLE
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State | AR
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Zip | 72712-4559
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Country | US
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Telephone | 479-899-5316
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1697
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License Number State | AR
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