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General NPI Number Information
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NPI Number | 1225570559
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Entity Type | Organization
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Legal Business Name | MARY ANNE M. YU, DMD, INC.
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Dates
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Enumeration Date | 11/17/2016
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 1269 W EL CAMINO REAL
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City | SUNNYVALE
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State | CA
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Zip | 94087-1028
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Country | US
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Telephone | 650-938-6937
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Fax | 650-938-6701
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Provider Business Mailing Address
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Address Line | 1269 W EL CAMINO REAL
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City | SUNNYVALE
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State | CA
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Zip | 94087-1028
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Country | US
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Telephone | 650-938-6937
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Fax | 650-938-6702
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARY ANNE MAIPID YU
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Credential | DMD
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Telephone | 650-938-6937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 52641
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License Number State | CA
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