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General NPI Number Information
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NPI Number | 1932183290
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Entity Type | Individual
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Provider Name | SHAO H YANG MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 411 W RANDOLPH RD
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City | HOPEWELL
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State | VA
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Zip | 23860-2938
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Country | US
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Telephone | 804-452-3698
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Fax |
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Provider Business Mailing Address
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Address Line | 6504 WESTLAND RD
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City | BETHESDA
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State | MD
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Zip | 20817-3336
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Country | US
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Telephone | 301-493-4507
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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 | D0061798
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101239474
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License Number State | VA
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