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General NPI Number Information
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NPI Number | 1417231416
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Entity Type | Organization
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Legal Business Name | DR. PAUL R. YANG, O.D., INC.
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 5636 E LA PALMA AVE SUITE B
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City | ANAHEIM
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State | CA
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Zip | 92807-2114
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Country | US
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Telephone | 714-970-0274
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Fax | 714-970-0629
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Provider Business Mailing Address
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Address Line | 5636 E LA PALMA AVE SUITE B
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City | ANAHEIM
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State | CA
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Zip | 92807-2114
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Country | US
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Telephone | 714-970-0274
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Fax | 714-970-0629
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL REN GING YANG
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Credential | O.D.
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Telephone | 714-970-0274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 9514T
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License Number State | CA
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