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General NPI Number Information
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NPI Number | 1528206901
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Entity Type | Individual
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Provider Name | JONATHAN ALEXANDER YANG MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1010 W 40TH ST
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City | AUSTIN
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State | TX
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Zip | 78756-4010
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Country | US
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Telephone | 512-483-6807
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Fax |
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Provider Business Mailing Address
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Address Line | 2186 JACKSON KELLER RD # 3116
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City | SAN ANTONIO
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State | TX
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Zip | 78213-2723
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Country | US
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Telephone | 512-815-3630
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | Q6801
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License Number State | TX
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