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General NPI Number Information
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NPI Number | 1932172145
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Entity Type | Individual
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Provider Name | HAROLD YU PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | NAVAL SUPPORT FACILITY THURMONT CAMP DAVID
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City | THURMONT
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State | MD
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Zip | 21788-5001
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Country | US
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Telephone | 301-271-1460
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Fax |
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Provider Business Mailing Address
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Address Line | 601 WINDVIEW WAY
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City | FREDERICK
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State | MD
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Zip | 21703-8336
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Country | US
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Telephone | 202-757-8709
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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