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General NPI Number Information
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NPI Number | 1841441789
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Entity Type | Individual
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Provider Name | KIM-ANH DONNA YU PA
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Gender | Female
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 3170 JUSTIN RD STE 403
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City | HIGHLAND VILLAGE
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State | TX
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Zip | 75077-3214
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Country | US
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Telephone | 972-528-4811
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 BENTGRASS DR
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City | FRISCO
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State | TX
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Zip | 75036-3925
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Country | US
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Telephone | 806-681-4162
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA05990
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License Number State | TX
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