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General NPI Number Information
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NPI Number | 1083504682
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Entity Type | Individual
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Provider Name | KAM YEUNG DDS
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Gender | Male
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 14901 WASHINGTON ST
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City | HAYMARKET
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State | VA
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Zip | 20169-2921
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Country | US
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Telephone | 703-753-7707
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Fax |
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Provider Business Mailing Address
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Address Line | 12170 WAVELAND ST
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City | FAIRFAX
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State | VA
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Zip | 22033-5523
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Country | US
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Telephone | 571-338-0412
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401419462
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License Number State | VA
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