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General NPI Number Information
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NPI Number | 1073599957
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Entity Type | Individual
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Provider Name | GIA KIM YI DDS
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Gender | Female
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 23 OXFORD WAY
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City | WILMINGTON
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State | DE
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Zip | 19807-2577
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Country | US
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Telephone | 703-401-9654
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Fax |
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Provider Business Mailing Address
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Address Line | 23 OXFORD WAY
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City | WILMINGTON
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State | DE
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Zip | 19807-2577
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Country | US
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Telephone | 703-401-9654
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | G1-0011603
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DDS53184
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License Number State | CA
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