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General NPI Number Information
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NPI Number | 1174845978
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Entity Type | Organization
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Legal Business Name | YUBIN SHI DDS CORP
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Dates
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Enumeration Date | 02/20/2010
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Last Update Date | 02/20/2010
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Provider Practice Location Address
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Address Line | 1286 KIFER RD STE 115
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City | SUNNYVALE
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State | CA
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Zip | 94086-5326
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Country | US
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Telephone | 408-720-8988
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Fax |
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Provider Business Mailing Address
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Address Line | 1286 KIFER RD STE 115
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City | SUNNYVALE
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State | CA
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Zip | 94086-5326
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Country | US
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Telephone | 408-720-8988
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YUBIN SHI
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Credential | DDS
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Telephone | 408-720-8988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 58506
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License Number State | CA
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