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General NPI Number Information
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NPI Number | 1356240501
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Entity Type | Organization
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Legal Business Name | JIA JIA DENTAL CARE P.C.
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 774 53RD ST STE 5F
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City | BROOKLYN
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State | NY
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Zip | 11220-2814
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Country | US
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Telephone | 929-691-2052
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Fax |
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Provider Business Mailing Address
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Address Line | 131 WOEHRLE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-1943
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Country | US
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Telephone | 917-932-3154
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JIAJIA YU
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Credential | DDS
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Telephone | 917-932-3154
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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 |
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License Number State |
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