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NPI 1457550972

NPI 1457550972 : PHILIP YEE, MD, INC. : SAN RAMON, CA

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General NPI Number Information
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    NPI Number           |    1457550972
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    Entity Type          |    Organization 
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    Legal Business Name  |    PHILIP YEE, MD, INC. 
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Dates
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    Enumeration Date     |    07/14/2007
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    Last Update Date     |    01/19/2010
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Provider Practice Location Address
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    Address Line         |    5401 NORRIS CANYON RD SUITE 208
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    City                 |    SAN RAMON
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    State                |    CA
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    Zip                  |    94583-5409
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    Country              |    US
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    Telephone            |    925-275-1811
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    Fax                  |    925-275-1814
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Provider Business Mailing Address
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    Address Line         |    5401 NORRIS CANYON RD SUITE 208
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    City                 |    SAN RAMON
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    State                |    CA
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    Zip                  |    94583-5409
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    Country              |    US
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    Telephone            |    925-275-1811
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    Fax                  |    925-275-1814
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     PHILIP C YEE 
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    Credential           |    MD
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    Telephone            |    925-275-1811
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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       |    G056573
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    License Number State |    CA
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