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General NPI Number Information
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NPI Number | 1770975112
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Entity Type | Individual
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Provider Name | DAVID YANG PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 02/23/2015
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 27 PROVIDENCE RD
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City | EGG HARBOR TWP
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State | NJ
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Zip | 08234-4855
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Country | US
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Telephone | 609-402-7665
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Fax |
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Provider Business Mailing Address
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Address Line | 27 PROVIDENCE RD
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City | EGG HARBOR TWP
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State | NJ
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Zip | 08234-4855
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Country | US
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Telephone | 609-402-7665
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03621400
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License Number State | NJ
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