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General NPI Number Information
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NPI Number | 1306589916
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Entity Type | Organization
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Legal Business Name | YSY ENDODONTICS PLLC
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 5100 W HIGHWAY 290 STE 220
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City | AUSTIN
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State | TX
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Zip | 78735-9000
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Country | US
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Telephone | 512-675-3636
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Fax |
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Provider Business Mailing Address
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Address Line | 5100 W HIGHWAY 290 STE 220
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City | AUSTIN
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State | TX
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Zip | 78735-9000
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Country | US
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Telephone | 512-675-3636
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YULIYA SALMERON
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Credential | DMD
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Telephone | 512-675-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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