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General NPI Number Information
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NPI Number | 1376979443
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Entity Type | Individual
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Provider Name | BRAD YANG
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Gender | Male
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 8940 67TH WAY N
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City | PINELLAS PARK
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State | FL
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Zip | 33782-4517
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Country | US
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Telephone | 727-657-7165
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Fax |
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Provider Business Mailing Address
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Address Line | 8940 67TH WAY N
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City | PINELLAS PARK
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State | FL
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Zip | 33782-4517
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Country | US
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Telephone | 727-777-4241
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State | FL
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