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General NPI Number Information
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NPI Number | 1831522366
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Entity Type | Individual
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Provider Name | MARVIN LOUIS ROY YAP LU MD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 305 MEMORIAL MEDICAL PKWY STE 301
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-5157
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Country | US
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Telephone | 386-615-1521
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Fax | 386-673-2787
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Provider Business Mailing Address
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Address Line | 305 MEMORIAL MEDICAL PKWY STE 301
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-5157
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Country | US
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Telephone | 386-615-1521
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Fax | 386-673-2787
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD458548
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT203514
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME161538
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License Number State | FL
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