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General NPI Number Information
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NPI Number | 1154619229
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Entity Type | Organization
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Legal Business Name | ISAAC YUE, DMD, MS, PC
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 7000 S ADAMS ST SUITE 150
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City | WILLOWBROOK
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State | IL
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Zip | 60527-7564
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Country | US
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Telephone | 630-323-7906
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Fax | 630-323-7938
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Provider Business Mailing Address
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Address Line | 7000 S ADAMS ST SUITE 150
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City | WILLOWBROOK
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State | IL
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Zip | 60527-7564
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Country | US
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Telephone | 630-323-7906
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Fax | 630-323-7938
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. ISAAC YUE
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Credential | DMD, MS
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Telephone | 630-323-7906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 021002141
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License Number State | IL
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