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General NPI Number Information
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NPI Number | 1174610455
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Entity Type | Individual
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Provider Name | PAUL C YOON DDS
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 8160 S HOUGHTON RD STE 130
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City | TUCSON
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State | AZ
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Zip | 85747-9720
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Country | US
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Telephone | 520-663-4789
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Fax | 520-664-9930
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Provider Business Mailing Address
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Address Line | 110 S 5TH ST
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City | LAMAR
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State | CO
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Zip | 81052-2708
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Country | US
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Telephone | 719-336-9023
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Fax | 719-336-9064
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5441
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License Number State | CO
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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 | D011054
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License Number State | AZ
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