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General NPI Number Information
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NPI Number | 1649328972
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Entity Type | Individual
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Provider Name | YI-CHING HSU PA-AA
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 09/22/2014
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE RD,. NW
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-351-1745
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Fax | 404-351-7121
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Provider Business Mailing Address
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Address Line | PO BOX 551420
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City | FORT LAUDERDALE
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State | FL
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Zip | 33355-1420
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Country | US
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Telephone | 800-243-3839
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Fax | 855-851-4405
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 004124
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License Number State | GA
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