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General NPI Number Information
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NPI Number | 1912054735
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Entity Type | Individual
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Provider Name | EDDY SHIH-HSIN YANG MD
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 800 ROSE ST
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City | LEXINGTON
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State | KY
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Zip | 40536-1801
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Country | US
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Telephone | 859-257-7618
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Fax | 859-257-4060
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Provider Business Mailing Address
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Address Line | 1717 6TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1801
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Country | US
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Telephone |
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 30284
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | TP328
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License Number State | KY
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