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General NPI Number Information
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NPI Number | 1639525983
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Entity Type | Individual
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Provider Name | ALEX YU D.C. AND LAC
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Gender | Male
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 01/23/2022
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Provider Practice Location Address
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Address Line | 202 S. FIRST AVE
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City | ARCADIA
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State | CA
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Zip | 91006
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Country | US
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Telephone | 626-447-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 376 CLIFF DR APT 4
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City | PASADENA
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State | CA
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Zip | 91107-3035
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Country | US
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Telephone | 626-241-2909
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 33553
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 16999
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License Number State | CA
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