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General NPI Number Information
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NPI Number | 1689980435
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Entity Type | Individual
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Provider Name | MR. XINGLONG YU
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Gender | Male
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 22812 53RD AVE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-1532
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Country | US
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Telephone | 347-235-0108
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Fax |
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Provider Business Mailing Address
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Address Line | 22812 53RD AVE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-1532
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Country | US
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Telephone | 347-235-0108
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 094425011
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 790710971
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License Number State | NY
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