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General NPI Number Information
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NPI Number | 1851468540
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Entity Type | Organization
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Legal Business Name | CPTA, INC.
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 205 S FRONT ST BRADY 8
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City | HARRISBURG
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State | PA
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Zip | 17104-1619
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Country | US
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Telephone | 717-231-8804
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Fax | 717-231-8443
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Provider Business Mailing Address
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Address Line | 205 S FRONT ST BRADY 8
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City | HARRISBURG
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State | PA
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Zip | 17104-1619
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Country | US
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Telephone | 717-231-8804
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Fax | 717-231-8443
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. HAROLD C YANG
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Credential | MD, PHD
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Telephone | 717-231-8804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | MD038258E
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License Number State | PA
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