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General NPI Number Information
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NPI Number | 1114584158
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Entity Type | Organization
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Legal Business Name | SAI FAN YU
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Dates
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Enumeration Date | 05/24/2019
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 334 SHAW AVE STE 125
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City | CLOVIS
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State | CA
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Zip | 93612-3865
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Country | US
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Telephone | 559-297-8000
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Fax | 559-297-3480
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Provider Business Mailing Address
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Address Line | 334 SHAW AVE STE 125
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City | CLOVIS
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State | CA
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Zip | 93612-3865
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Country | US
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Telephone | 559-297-8000
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Fax | 559-297-3480
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SAI FAN YU
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Credential |
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Telephone | 415-608-0021
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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 |
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License Number State |
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