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General NPI Number Information
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NPI Number | 1427275817
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Entity Type | Individual
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Provider Name | JUSTINA YEEHUA JU M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 624 QUAKER LN SUITE 105C
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City | HIGH POINT
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State | NC
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Zip | 27262-3832
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Country | US
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Telephone | 336-802-2105
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Fax | 336-802-2106
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Provider Business Mailing Address
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Address Line | 1701 WESTCHESTER DR SUITE 850
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City | HIGH POINT
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State | NC
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Zip | 27262-7008
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Country | US
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Telephone | 336-802-2536
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Fax | 336-802-2534
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2016-01972
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 0101247040
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License Number State | VA
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