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Individual
YONG PRATT
Active
Individual
YONG PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04335
IA
207R00000X
Internal Medicine Physician
906
NE
208M00000X
Hospitalist Physician
906
NE
208M00000X
Hospitalist Physician
Primary
DO-04335
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098684527
MEDICARE PTAN
NE
01
—
414530125
MEDICARE PTAN
IA
Enumeration date
06/01/2009
Last updated
04/10/2017
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