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NPI 1720044415

NPI 1720044415 : DAVID J YEH MMD : SAN LUIS OBISPO, CA

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General NPI Number Information
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    NPI Number           |    1720044415
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID J YEH MMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/22/2006
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    Last Update Date     |    08/08/2024
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Provider Practice Location Address
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    Address Line         |    1531 HIGUERA ST 
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    City                 |    SAN LUIS OBISPO
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    State                |    CA
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    Zip                  |    93401-2917
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    Country              |    US
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    Telephone            |    805-704-0889
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    Fax                  |    805-548-1994
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Provider Business Mailing Address
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    Address Line         |    1531 HIGUERA ST 
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    City                 |    SAN LUIS OBISPO
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    State                |    CA
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    Zip                  |    93401-2917
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    Country              |    US
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    Telephone            |    805-704-0889
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    Fax                  |    805-548-1994
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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        |    207T00000X
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    Taxonomy Name        |    Neurological Surgery Physician
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    License Number       |    MD40688
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    207T00000X
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    Taxonomy Name        |    Neurological Surgery Physician
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    License Number       |    R5058
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    207T00000X
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    Taxonomy Name        |    Neurological Surgery Physician
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    License Number       |    M-2439
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    License Number State |    GU
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Taxonomy #4
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    Taxonomy Code        |    207T00000X
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    Taxonomy Name        |    Neurological Surgery Physician
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    License Number       |    20326
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    License Number State |    MS
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