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General NPI Number Information
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NPI Number | 1578763926
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Entity Type | Individual
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Provider Name | YIIK LAW MD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 10800 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-3043
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Country | US
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Telephone | 951-353-2000
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Fax | 951-353-5248
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Provider Business Mailing Address
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Address Line | 10800 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-3043
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Country | US
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Telephone | 951-353-2000
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Fax | 951-353-5248
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | TP119
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | TP119
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | A103795
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License Number State | CA
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