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General NPI Number Information
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NPI Number | 1528360500
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Entity Type | Individual
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Provider Name | CLIFF B YU CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 1 BOSTON MEDICAL CTR PL
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City | BOSTON
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State | MA
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Zip | 02118-2908
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Country | US
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Telephone | 617-638-6950
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Fax | 617-638-6966
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Provider Business Mailing Address
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Address Line | 960 MASSACHUSETTS AVENUE FL 2
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City | BOSTON
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State | MA
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Zip | 02118-0853
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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 |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | RN267568
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 795614
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP120577
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License Number State | TX
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