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General NPI Number Information
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NPI Number | 1215167069
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Entity Type | Individual
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Provider Name | JUNG H YU DDS
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Gender | Female
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Dates
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Enumeration Date | 07/14/2009
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Last Update Date | 07/14/2009
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Provider Practice Location Address
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Address Line | 3910 PASO DEL LAGOS
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City | BONSALL
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State | CA
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Zip | 92003-4904
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Country | US
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Telephone | 949-466-7074
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Fax |
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Provider Business Mailing Address
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Address Line | 3910 PASO DEL LAGOS
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City | BONSALL
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State | CA
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Zip | 92003-4904
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Country | US
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Telephone | 949-466-7074
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 58380
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License Number State | CA
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