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General NPI Number Information
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NPI Number | 1447531397
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Entity Type | Organization
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Legal Business Name | J. YANG CHIROPRACTIC CORP
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 38431 20TH ST E
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City | PALMDALE
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State | CA
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Zip | 93550-4034
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Country | US
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Telephone | 661-267-2158
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Fax | 661-267-1736
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Provider Business Mailing Address
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Address Line | 38431 20TH ST E
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City | PALMDALE
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State | CA
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Zip | 93550-4034
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Country | US
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Telephone | 661-267-2158
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Fax | 661-267-1736
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN YANG
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Credential | D.C.
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Telephone | 661-267-2158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC29875
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License Number State | CA
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