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General NPI Number Information
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NPI Number | 1528126786
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Entity Type | Individual
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Provider Name | CHAI Y YI NP
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2988 SHALLOWFORD RD
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City | MARIETTA
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State | GA
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Zip | 30066-3033
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Country | US
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Telephone | 713-935-0333
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Fax | 770-579-2693
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Provider Business Mailing Address
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Address Line | 1116 WATERFORD GREEN PT
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City | MARIETTA
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State | GA
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Zip | 30068-2929
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Country | US
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Telephone | 770-993-7541
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN099033
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License Number State | GA
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