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General NPI Number Information
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NPI Number | 1205503513
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Entity Type | Individual
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Provider Name | CARI YANG DDS
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Gender | Female
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 700 ADELINE ST
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City | OAKLAND
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State | CA
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Zip | 94607-2608
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Country | US
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Telephone | 916-307-8063
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Fax |
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Provider Business Mailing Address
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Address Line | 325 27TH ST UNIT 444
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City | OAKLAND
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State | CA
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Zip | 94612-3245
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Country | US
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Telephone | 916-307-8063
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 106826
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License Number State | CA
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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 | 106826
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License Number State | CA
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