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General NPI Number Information
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NPI Number | 1457857336
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Entity Type | Individual
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Provider Name | YI GAO MD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2018
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 9250 N 3RD ST STE 3025
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City | PHOENIX
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State | AZ
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Zip | 85020-2428
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Country | US
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Telephone | 602-944-4628
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Fax |
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Provider Business Mailing Address
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Address Line | 3302 N MILLER RD STE D
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6489
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Country | US
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Telephone | 480-945-6356
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Fax | 480-946-9565
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 66697
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License Number State | AZ
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