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General NPI Number Information
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NPI Number | 1164226031
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Entity Type | Organization
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Legal Business Name | YOON SEON, DDS, P.C
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 560 E MAIN ST
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City | MALONE
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State | NY
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Zip | 12953-2048
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Country | US
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Telephone | 518-483-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 560 E MAIN ST
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City | MALONE
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State | NY
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Zip | 12953-2048
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | YOON JI SEON
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Credential | DDS
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Telephone | 714-732-1211
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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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