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General NPI Number Information
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NPI Number | 1396031191
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Entity Type | Individual
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Provider Name | HONG YANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 4235 MAIN ST STE 3C
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City | FLUSHING
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State | NY
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Zip | 11355-3969
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Country | US
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Telephone | 718-673-2318
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Fax |
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Provider Business Mailing Address
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Address Line | 29 MAPLE RUN DR
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City | JERICHO
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State | NY
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Zip | 11753-2840
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Country | US
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Telephone | 636-544-5727
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2011013276
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 76167
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01074728A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01074728A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 311574
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License Number State | NY
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