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General NPI Number Information
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NPI Number | 1518294537
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Entity Type | Individual
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Provider Name | ANGIE YU MD
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Gender | Female
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 6600 BRUCEVILLE RD
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City | SACRAMENTO
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State | CA
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Zip | 95823-4671
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Country | US
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Telephone | 916-478-5829
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Fax |
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Provider Business Mailing Address
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Address Line | 9201 BIG HORN BLVD
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City | ELK GROVE
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State | CA
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Zip | 95758-1240
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Country | US
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Telephone | 916-478-5829
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A24188
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A124188
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A124188
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License Number State | CA
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