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General NPI Number Information
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NPI Number | 1447370978
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Entity Type | Individual
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Provider Name | DR. GUIXIANG CHARLES YUE
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19705 HILLSIDE AVE
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City | HOLLIS
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State | NY
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Zip | 11423-2126
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Country | US
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Telephone | 718-465-4400
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Fax | 718-740-3111
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Provider Business Mailing Address
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Address Line | 7559 182ND ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1613
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Country | US
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Telephone | 718-213-9882
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Fax | 718-264-0378
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 000488
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License Number State | NY
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