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General NPI Number Information
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NPI Number | 1861818361
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Entity Type | Organization
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Legal Business Name | YU PEDIATRICS PC
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 325 CHARLES H DIMMOCK PKWY SUITE 600
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2914
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Country | US
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Telephone | 804-213-9703
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Fax | 804-213-9783
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Provider Business Mailing Address
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Address Line | 325 CHARLES H DIMMOCK PKWY SUITE 600
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2914
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Country | US
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Telephone | 804-213-9703
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Fax | 804-213-9783
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Authorized Official
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Title or Position | PRESIDENT
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Name | LANPING YU
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Credential | MD
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Telephone | 804-530-1602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101233602
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License Number State | VA
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