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General NPI Number Information
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NPI Number | 1396701652
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Entity Type | Individual
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Provider Name | LARRY M YU M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 78MDG /SGP 655 SOUTH 7TH STREET BLDG 700/700-A
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City | ROBINS AFB
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State | GA
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Zip | 31098
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Country | US
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Telephone | 478-327-8487
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Fax |
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Provider Business Mailing Address
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Address Line | 655 SOUTH 7TH STREET BLDG 700/700-A 78 MDG/SGP
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City | ROBINS AFB
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State | GA
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Zip | 31098
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Country | US
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Telephone | 478-327-8487
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 8764
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 8764
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 8764
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License Number State | NV
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