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General NPI Number Information
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NPI Number | 1851827323
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Entity Type | Individual
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Provider Name | PETER YU
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Gender | Male
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Dates
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Enumeration Date | 05/03/2017
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 5996 E 64TH AVE
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City | COMMERCE CITY
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State | CO
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Zip | 80022-3317
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Country | US
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Telephone | 720-463-6758
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Fax | 720-640-3314
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Provider Business Mailing Address
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Address Line | PO BOX 746081
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City | ATLANTA
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State | GA
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Zip | 30374-6081
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Country | US
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Telephone | 312-733-9730
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Fax | 773-866-8014
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 22471
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0004363-C-NP
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License Number State | CO
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