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General NPI Number Information
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NPI Number | 1073737243
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Entity Type | Individual
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Provider Name | ZHAO J YU DDS PHD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 10/29/2009
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Provider Practice Location Address
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Address Line | 304 BRIDGEGATE DR
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City | CARY
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State | NC
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Zip | 27519-7190
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Country | US
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Telephone | 919-651-0146
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Fax |
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Provider Business Mailing Address
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Address Line | 304 BRIDGEGATE DR
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City | CARY
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State | NC
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Zip | 27519-7190
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Country | US
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Telephone | 919-651-0146
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 8660
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License Number State | NC
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