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General NPI Number Information
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NPI Number | 1912106212
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Entity Type | Organization
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Legal Business Name | DR BETH YU, M.D.,P.A.
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 12200 PARK CENTRAL DR SUITE 550
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City | DALLAS
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State | TX
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Zip | 75251-2100
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Country | US
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Telephone | 972-934-3920
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Fax | 972-934-3925
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Provider Business Mailing Address
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Address Line | 12200 PARK CENTRAL DR SUITE 550
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City | DALLAS
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State | TX
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Zip | 75251-2100
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Country | US
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Telephone | 972-934-3920
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Fax | 972-934-3925
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Authorized Official
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Title or Position | PRESIDENT
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Name | BETH YU
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Credential | M.D., P.A.
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Telephone | 972-934-3920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L6730
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License Number State | TX
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