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General NPI Number Information
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NPI Number | 1376812800
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Entity Type | Organization
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Legal Business Name | TIMOTHY GUAN-TYNG YEH, M.D. INC.
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Dates
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Enumeration Date | 12/29/2011
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Last Update Date | 12/29/2011
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Provider Practice Location Address
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Address Line | 29798 HAUN RD SUITE NUMBER 106
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City | MENIFEE
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State | CA
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Zip | 92586-6541
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Country | US
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Telephone | 714-956-4958
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Fax | 714-400-0488
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Provider Business Mailing Address
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Address Line | PO BOX 5256
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City | FULLERTON
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State | CA
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Zip | 92838-0256
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Country | US
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Telephone | 714-956-4958
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Fax | 714-400-0488
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY G YEH
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Credential | M.D.
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Telephone | 714-956-4958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 00G81650
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License Number State | CA
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