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General NPI Number Information
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NPI Number | 1467432559
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Entity Type | Individual
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Provider Name | ANDREW YUAN-SHUOH YANG O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 175 MARKET PL
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City | SAN RAMON
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State | CA
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Zip | 94583-4741
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Country | US
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Telephone | 925-275-0202
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Fax | 925-275-0447
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Provider Business Mailing Address
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Address Line | 83 HILLVIEW DR
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City | DANVILLE
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State | CA
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Zip | 94506-1311
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Country | US
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Telephone | 925-389-1742
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11984 TPA
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License Number State | CA
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