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General NPI Number Information
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NPI Number | 1538574488
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Entity Type | Individual
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Provider Name | CHIH CHAO YANG MD, MPH, FACP
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Gender | Male
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Dates
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Enumeration Date | 06/29/2014
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 110 W SQUANTUM ST
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City | QUINCY
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State | MA
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Zip | 02171
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Country | US
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Telephone | 617-376-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 910 BEACON ST
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City | BOSTON
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State | MA
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Zip | 02215-3034
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Country | US
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Telephone | 650-796-1586
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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 | 260345
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License Number State | MA
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