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General NPI Number Information
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NPI Number | 1619185204
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Entity Type | Individual
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Provider Name | PHILIP YANG LEE D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | UPMC SHADYSIDE - 5230 CENTRE AVENUE SON - SUITE 208
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City | PITTSBURGH
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State | PA
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Zip | 15238
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Country | US
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Telephone | 412-623-2467
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Fax |
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Provider Business Mailing Address
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Address Line | 3214 RIVERFRONT DR
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City | PITTSBURGH
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State | PA
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Zip | 15238-3185
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Country | US
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Telephone | 412-968-0257
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS014049
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License Number State | PA
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