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General NPI Number Information
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NPI Number | 1184784274
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Entity Type | Individual
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Provider Name | YONG JOON COE DDS,MSD,MS
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 19490 SANDRIDGE WAY STE 160
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City | LEESBURG
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State | VA
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Zip | 20176-3469
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Country | US
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Telephone | 703-454-5656
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Fax | 703-454-5056
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Provider Business Mailing Address
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Address Line | 19490 SANDRIDGE WAY STE 160
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City | LEESBURG
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State | VA
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Zip | 20176-3469
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Country | US
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Telephone | 703-454-5656
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Fax | 703-454-5056
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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 | 0401412988
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 40091
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 40091
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 0401412988
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License Number State | VA
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