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General NPI Number Information
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NPI Number | 1700755055
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Entity Type | Individual
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Provider Name | YUXI GU PHD, HCLD, BCLD
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Gender | Female
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 10 BOND ST STE 467
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City | GREAT NECK
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State | NY
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Zip | 11021-2454
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Country | US
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Telephone | 917-960-9556
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Fax |
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Provider Business Mailing Address
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Address Line | 10 BOND ST STE 467
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City | GREAT NECK
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State | NY
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Zip | 11021-2454
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Country | US
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Telephone |
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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 | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number | GUXXY1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number | DI57834
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number | 25MS00026000
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License Number State | NJ
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