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General NPI Number Information
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NPI Number | 1598261174
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Entity Type | Individual
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Provider Name | ALICE S YANG MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 1313 RED RIVER ST STE 100
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City | AUSTIN
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State | TX
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Zip | 78701-1923
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Country | US
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Telephone | 512-324-7318
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Fax |
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Provider Business Mailing Address
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Address Line | 12319 N MOPAC EXPY
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City | AUSTIN
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State | TX
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Zip | 78758-2414
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Country | US
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Telephone | 512-835-5577
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | S5524
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License Number State | TX
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