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General NPI Number Information
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NPI Number | 1124729397
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Entity Type | Organization
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Legal Business Name | SUL KI YI, DDS, P.A.
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 201 N MAIN ST STE. B
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City | DONNA
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State | TX
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Zip | 78537-2720
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Country | US
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Telephone | 956-464-4448
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Fax | 956-464-9742
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Provider Business Mailing Address
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Address Line | 1600 W JONQUIL AVE
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City | MCALLEN
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State | TX
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Zip | 78501-3829
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Country | US
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Telephone | 210-849-4812
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. SUL KI YI
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Credential | DDS
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Telephone | 210-723-4470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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