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General NPI Number Information
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NPI Number | 1679602387
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Entity Type | Individual
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Provider Name | PEILAN YAO AP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3363 SHERIDAN ST SUITE 214
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3658
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Country | US
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Telephone | 954-439-6498
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Fax | 305-392-2590
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Provider Business Mailing Address
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Address Line | 12708 NW 20TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2530
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Country | US
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Telephone | 954-439-6498
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Fax | 305-392-2590
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP1847
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License Number State | FL
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