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General NPI Number Information
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NPI Number | 1861460735
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Entity Type | Individual
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Provider Name | WEIPING YAO MD
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 04/28/2011
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Provider Practice Location Address
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Address Line | 1235 W VINE ST SUITE 22
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City | LODI
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State | CA
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Zip | 95240-5144
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Country | US
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Telephone | 209-334-8520
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Fax | 209-334-2109
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Provider Business Mailing Address
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Address Line | PO BOX 241011
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City | LODI
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State | CA
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Zip | 95241-9511
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Country | US
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Telephone | 209-339-7435
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Fax | 209-339-7858
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A85432
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License Number State | CA
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