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General NPI Number Information
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NPI Number | 1457362709
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Entity Type | Organization
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Legal Business Name | MICHELLE L YU, MD, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 223 N GARFIELD AVE STE 205
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1700
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Country | US
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Telephone | 626-307-9000
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Fax | 626-307-8968
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Provider Business Mailing Address
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Address Line | 223 N GARFIELD AVE STE 205
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1700
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Country | US
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Telephone | 626-307-9000
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Fax | 626-307-8968
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHELLE LYN YU
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Credential | M.D.
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Telephone | 626-307-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A61478
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License Number State | CA
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