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General NPI Number Information
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NPI Number | 1831981182
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Entity Type | Organization
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Legal Business Name | YAN INTERNAL MEDICINE PC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 13347 SANFORD AVE STE C1EN
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City | FLUSHING
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State | NY
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Zip | 11355-5800
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Country | US
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Telephone | 718-460-5555
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Fax | 718-461-7777
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Provider Business Mailing Address
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Address Line | PO BOX 214
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City | NEW YORK
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State | NY
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Zip | 10150-0214
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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 | PRESIDENT
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Name | XIAORONG YAN
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Credential | MD
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Telephone | 646-250-1085
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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 |
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License Number State |
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