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General NPI Number Information
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NPI Number | 1205212859
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Entity Type | Individual
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Provider Name | YIGE ZHAO DDS
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Gender | Female
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 415 SANSOME ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3120
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Country | US
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Telephone | 415-433-9032
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Fax |
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Provider Business Mailing Address
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Address Line | 9415 SELTZER CT
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City | SAN DIEGO
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State | CA
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Zip | 92123-3245
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Country | US
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Telephone | 951-587-5171
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Fax |
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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 | 64863
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License Number State | CA
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