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General NPI Number Information
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NPI Number | 1740381292
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Entity Type | Individual
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Provider Name | TIMOTHY GREGG YING D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1777 AXTELL DR SUITE 107
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City | TROY
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State | MI
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Zip | 48084-4404
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Country | US
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Telephone | 248-842-7625
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Fax |
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34.013655
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 02004972A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5101009300
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 009300
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2020042510
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License Number State | MO
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