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General NPI Number Information
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NPI Number | 1861601999
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Entity Type | Individual
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Provider Name | CORY CHI-HONG YEH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 24331 EL TORO RD SUITE 350
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-2752
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Country | US
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Telephone | 949-916-7066
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Fax | 949-916-7067
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Provider Business Mailing Address
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Address Line | 24331 EL TORO RD SUITE 350
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-2752
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Country | US
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Telephone | 949-916-7066
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Fax | 949-916-7067
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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 | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | A106777
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 217680
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License Number State | MA
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