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General NPI Number Information
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NPI Number | 1205177920
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Entity Type | Organization
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Legal Business Name | JAMES K. YU D.D.S. INC
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 995 MONTAGUE EXPWY SUITE 216
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City | MILPITAS
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State | CA
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Zip | 95035
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Country | US
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Telephone | 408-263-1188
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Fax |
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Provider Business Mailing Address
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Address Line | 995 MONTAGUE EXPWY SUITE #216
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City | MILPITAS
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State | CA
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Zip | 95035
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Country | US
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Telephone | 408-263-1188
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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. JAMES K YU
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Credential | DDS
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Telephone | 408-263-1188
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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 | CA032920
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License Number State | CA
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