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General NPI Number Information
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NPI Number | 1285887620
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Entity Type | Organization
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Legal Business Name | KARL H. YAUCH, DDS, PS
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 2315 S.W. 320TH STREET
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City | FEDERAL WAY
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State | WA
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Zip | 98023-2514
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Country | US
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Telephone | 253-838-0661
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Fax | 253-927-8378
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Provider Business Mailing Address
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Address Line | 2315 S.W. 320TH ST. SUITE B
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City | FEDERAL WAY
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State | WA
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Zip | 98023-2514
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Country | US
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Telephone | 253-838-0661
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Fax | 253-927-8378
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Authorized Official
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Title or Position | OWNER - PRES.
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Name | DR. KARL HERMAN YOUCH
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Credential | DDS
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Telephone | 253-838-0661
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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 | 3781
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License Number State | WA
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