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General NPI Number Information
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NPI Number | 1770712036
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Entity Type | Organization
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Legal Business Name | I FIX YU, LTD
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Dates
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Enumeration Date | 07/08/2009
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Last Update Date | 07/08/2009
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Provider Practice Location Address
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Address Line | 10001 S EASTERN AVE SUITE 406
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City | HENDERSON
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State | NV
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Zip | 89052-3907
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Country | US
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Telephone | 702-475-4390
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Fax | 702-951-5456
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Provider Business Mailing Address
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Address Line | 10624 S EASTERN AVE SUITE A, #443
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City | HENDERSON
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State | NV
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Zip | 89052-2982
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Country | US
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Telephone | 702-475-4390
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Fax | 702-951-5456
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Authorized Official
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Title or Position | MEMBER
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Name | JOSEPH YU
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Credential | M.D.
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Telephone | 702-475-4390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 11314
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License Number State | NV
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