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General NPI Number Information
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NPI Number | 1477081230
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Entity Type | Organization
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Legal Business Name | AMY J YANG M.D., LLC
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 05/24/2017
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Provider Practice Location Address
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Address Line | 1525 E 53RD ST STE 933
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City | CHICAGO
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State | IL
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Zip | 60615-4572
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Country | US
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Telephone | 773-217-9266
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 E 53RD ST STE 933
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City | CHICAGO
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State | IL
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Zip | 60615-4572
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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 | OWNER
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Name | AMY YANG
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Credential | MD
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Telephone | 347-673-9210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036133637
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License Number State | IL
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