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NPI 1265133417

NPI 1265133417 : SUL KI YI, DDS, P.A. : EDINBURG, TX

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General NPI Number Information
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    NPI Number           |    1265133417
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUL KI YI, DDS, P.A. 
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Dates
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    Enumeration Date     |    03/14/2023
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    Last Update Date     |    04/17/2025
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Provider Practice Location Address
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    Address Line         |    206 W MAHL ST 
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    City                 |    EDINBURG
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    State                |    TX
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    Zip                  |    78539-4331
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    Country              |    US
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    Telephone            |    956-383-4400
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    Fax                  |    956-383-6005
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Provider Business Mailing Address
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    Address Line         |    1600 W JONQUIL AVE 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78501-3829
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    Country              |    US
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    Telephone            |    210-849-4812
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DENTIST/OWNER
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    Name                 |    DR. SUL KI  YI 
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    Credential           |    DDS
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    Telephone            |    210-723-4470
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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