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NPI 1760058523

NPI 1760058523 : HOWARD YU L.AC, DAOM : BUFORD, GA

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General NPI Number Information
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    NPI Number           |    1760058523
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    Entity Type          |    Individual 
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    Provider Name        |    HOWARD YU L.AC, DAOM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/02/2021
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    Last Update Date     |    10/17/2024
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Provider Practice Location Address
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    Address Line         |    4306 SUWANEE BROOK CT 
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    City                 |    BUFORD
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    State                |    GA
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    Zip                  |    30518-4995
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    Country              |    US
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    Telephone            |    718-484-4878
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    Fax                  |    646-516-0352
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Provider Business Mailing Address
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    Address Line         |    4306 SUWANEE BROOK CT 
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    City                 |    BUFORD
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    State                |    GA
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    Zip                  |    30518-4995
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    Country              |    US
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    Telephone            |    718-484-4878
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    Fax                  |    646-516-0352
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    006799-01
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    U02818
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    License Number State |    MD
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