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General NPI Number Information
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NPI Number | 1548426364
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Entity Type | Individual
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Provider Name | EDWIN S GO YAO P.T.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 400 N HIGHLAND AVE
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City | AURORA
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State | IL
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Zip | 60506-3814
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Country | US
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Telephone | 630-892-4355
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Fax | 630-482-8106
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Provider Business Mailing Address
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Address Line | 2536 MC DUFFEE CIR
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City | NORTH AURORA
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State | IL
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Zip | 60542-2026
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Country | US
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Telephone | 630-907-2523
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070007443
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License Number State | IL
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