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General NPI Number Information
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NPI Number | 1376107920
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Entity Type | Organization
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Legal Business Name | HYUK YANG PROFESSIONAL SERVICES
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | 18623 HIGHWAY 99 STE 201
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City | LYNNWOOD
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State | WA
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Zip | 98037-4552
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Country | US
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Telephone | 425-412-3113
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Fax | 425-967-3659
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Provider Business Mailing Address
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Address Line | 18623 HIGHWAY 99 STE 210
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City | LYNNWOOD
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State | WA
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Zip | 98037-4552
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Country | US
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Telephone | 425-412-3113
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Fax | 425-967-3659
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Authorized Official
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Title or Position | DENTIST
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Name | DR. HYUK YANG
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Credential | DMD
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Telephone | 425-412-3113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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