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General NPI Number Information
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NPI Number | 1093699316
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Entity Type | Individual
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Provider Name | STEPHANIE YONG
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Gender | Female
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 3906 STATE ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3114
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Country | US
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Telephone | 805-687-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 28041 SAN NICOLAS DR
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-3154
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Country | US
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Telephone | 310-855-2757
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 112136
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License Number State | CA
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