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General NPI Number Information
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NPI Number | 1902091507
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Entity Type | Organization
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Legal Business Name | MICHELLE YANG MD PC INC
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 923 9TH ST SUITE B
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City | ALAMOGORDO
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State | NM
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Zip | 88310-6467
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Country | US
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Telephone | 505-437-9900
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Fax | 505-437-5500
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Provider Business Mailing Address
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Address Line | 923 NINTH ST SUITE B
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City | ALAMOGORDO
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State | NM
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Zip | 88310-6467
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Country | US
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Telephone | 505-437-9900
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Fax | 505-437-5500
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | MICHELLE YANG
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Credential | MD
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Telephone | 505-437-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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