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General NPI Number Information
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NPI Number | 1427095686
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Entity Type | Individual
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Provider Name | KYI WIN YU MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 8704A ROCKAWAY BEACH BLVD
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City | ROCKAWAY BEACH
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State | NY
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Zip | 11693-1610
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Country | US
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Telephone | 718-945-6500
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Fax | 718-945-6509
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Provider Business Mailing Address
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Address Line | 6403 213TH ST
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City | FLUSHING
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State | NY
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Zip | 11364-2128
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Country | US
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Telephone | 718-428-0282
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Fax | 718-428-1603
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 204315
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License Number State | NY
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