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General NPI Number Information
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NPI Number | 1396328266
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Entity Type | Organization
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Legal Business Name | TIAN YANG FAMILY HEALTH NP P.C.
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 391 PELHAM RD
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City | NEW ROCHELLE
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State | NY
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Zip | 10805-2225
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Country | US
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Telephone | 917-302-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 28 MARTIN PL
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City | SYOSSET
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State | NY
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Zip | 11791-6714
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Country | US
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Telephone | 917-302-9100
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Fax |
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Authorized Official
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Title or Position | NP
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Name | DANHONG YANG
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Credential |
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Telephone | 917-302-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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