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General NPI Number Information
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NPI Number | 1457725343
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Entity Type | Organization
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Legal Business Name | DONG YOU HEALTH CENTER
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 10904 FREER ST
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City | TEMPLE CITY
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State | CA
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Zip | 91780-3540
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Country | US
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Telephone | 626-841-8628
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Fax |
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Provider Business Mailing Address
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Address Line | 10904 FREER ST
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City | TEMPLE CITY
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State | CA
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Zip | 91780-3540
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LAC
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Name | TAI YU CHEN
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Credential |
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Telephone | 626-841-8628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 01-773443
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License Number State | CA
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