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General NPI Number Information
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NPI Number | 1386719623
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Entity Type | Organization
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Legal Business Name | EDMUND H YEANG DDS PA
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 24307 ALDINE WESTFIELD RD STE M
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City | SPRING
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State | TX
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Zip | 77373-5955
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Country | US
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Telephone | 281-350-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 24307 ALDINE WESTFIELD RD STE M
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City | SPRING
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State | TX
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Zip | 77373-5955
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Country | US
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Telephone | 281-350-6500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDMUND YEANG
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Credential | DDS
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Telephone | 281-350-6500
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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 | 14897
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License Number State | TX
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