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General NPI Number Information
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NPI Number | 1548187123
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Entity Type | Organization
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Legal Business Name | YORKTOWN LLC
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 2503 EASTBLUFF DR STE 105
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-3549
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Country | US
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Telephone | 949-760-8065
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Fax |
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Provider Business Mailing Address
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Address Line | 2503 EASTBLUFF DR STE 105
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-3549
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Country | US
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Telephone | 949-760-8065
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. LI WEN
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Credential | MD
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Telephone | 949-413-9017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QB0505X
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Taxonomy Name | Diabetology (Internal Medicine) Physician
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License Number |
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License Number State |
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