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General NPI Number Information
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NPI Number | 1225417611
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Entity Type | Organization
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Legal Business Name | KLAUS M. YI, D.D.S, INC.
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | 34530 BOB HOPE DR B
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1727
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Country | US
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Telephone | 760-324-2939
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Fax | 760-324-3130
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Provider Business Mailing Address
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Address Line | 34530 BOB HOPE DR B
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1727
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MAGANER
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Name | GINA YI
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Credential |
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Telephone | 760-324-2939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 51004
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License Number State | CA
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