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General NPI Number Information
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NPI Number | 1245669084
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Entity Type | Individual
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Provider Name | YUCHEN SHENG D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 1177 SUMMER ST
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City | STAMFORD
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State | CT
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Zip | 06905-5572
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Country | US
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Telephone | 203-327-2540
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 E HALLANDALE BEACH BLVD STE 5
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4478
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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 |
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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 | DN21612
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS039469
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13158
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License Number State | CT
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