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General NPI Number Information
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NPI Number | 1902821390
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Entity Type | Individual
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Provider Name | JOSEPH C YI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 5757 WILSHIRE BLVD STE 376
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City | LOS ANGELES
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State | CA
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Zip | 90036-3683
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Country | US
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Telephone | 323-935-9367
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Fax |
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Provider Business Mailing Address
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Address Line | 501 WEST OLYMPIC BLVD UNIT 516
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City | LOS ANGELES
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State | CA
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Zip | 90015
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Country | US
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Telephone | 412-657-8550
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A94478
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License Number State | CA
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