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General NPI Number Information
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NPI Number | 1578662649
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Entity Type | Organization
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Legal Business Name | THOMAS S. YU, M.D., INC.
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 1448 S SAN GABRIEL BLVD
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City | SAN GABRIEL
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State | CA
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Zip | 91776-3656
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Country | US
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Telephone | 626-288-0300
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Fax | 626-288-1402
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Provider Business Mailing Address
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Address Line | 1448 S SAN GABRIEL BLVD
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City | SAN GABRIEL
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State | CA
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Zip | 91776-3656
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Country | US
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Telephone | 626-288-0300
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Fax | 626-288-1402
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS SHENGYUAN YU
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Credential | M.D.
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Telephone | 626-288-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G80626
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License Number State | CA
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