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General NPI Number Information
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NPI Number | 1689184269
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Entity Type | Individual
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Provider Name | SHELLA YU MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 150 S RAYMOND AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-3166
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Country | US
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Telephone | 626-300-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 S OLIVE AVE
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City | ALHAMBRA
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State | CA
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Zip | 91803-3163
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Country | US
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Telephone | 626-689-6302
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95007518
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License Number State | CA
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