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General NPI Number Information
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NPI Number | 1538035233
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Entity Type | Individual
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Provider Name | YU LENG PHUA PHD, FACMG
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Gender | Male
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Dates
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Enumeration Date | 10/11/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 201 INDUSTRIAL RD
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City | SAN CARLOS
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State | CA
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Zip | 94070-2396
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Country | US
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Telephone | 408-780-9975
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 KENTFIELD AVE
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City | REDWOOD CITY
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State | CA
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Zip | 94061-2707
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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 | 207SG0202X
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Taxonomy Name | Clinical Biochemical Genetics Physician
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License Number | 2021006
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207SG0203X
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Taxonomy Name | Clinical Molecular Genetics Physician
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License Number | 2025032
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207SC0300X
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Taxonomy Name | Clinical Cytogenetics Physician
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License Number | 2025032
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License Number State | CA
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