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General NPI Number Information
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NPI Number | 1164615324
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Entity Type | Organization
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Legal Business Name | YUNG TA HUANG DDS INC
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 9955 LOWER AZUSA RD SUITE 201
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City | TEMPLE CITY
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State | CA
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Zip | 91780-4041
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Country | US
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Telephone | 626-258-2999
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Fax | 626-329-2328
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Provider Business Mailing Address
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Address Line | 9955 LOWER AZUSA RD SUITE 201
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City | TEMPLE CITY
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State | CA
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Zip | 91780-4041
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Country | US
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Telephone | 626-258-2999
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Fax | 626-329-0328
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Authorized Official
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Title or Position | DENTIST
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Name | YUNG-TA HUANG
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Credential |
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Telephone | 626-258-2999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 41421
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License Number State | CA
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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 | 37339
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License Number State | CA
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