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General NPI Number Information
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NPI Number | 1487444972
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Entity Type | Organization
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Legal Business Name | TAE CHAN PAUL YANG MD
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 65 N MADISON AVE STE 404
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City | PASADENA
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State | CA
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Zip | 91101-5248
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Country | US
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Telephone | 626-842-7745
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 FAIR OAKS AVE
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-3311
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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/AUTHORIZED OFFICIAL
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Name | TAE CHAN PAUL YANG
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Credential | MD
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Telephone | 626-842-7745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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