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General NPI Number Information
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NPI Number | 1386242048
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Entity Type | Individual
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Provider Name | JUSTIN YEH
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Gender | Male
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 205 W HAMPDEN AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2401
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Country | US
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Telephone | 303-789-0772
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 WILSHIRE BLVD STE 1501
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City | LOS ANGELES
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State | CA
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Zip | 90017-2498
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Country | US
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Telephone | 213-624-3556
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 1336523
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT303969
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP011054T
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License Number State | CO
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