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General NPI Number Information
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NPI Number | 1396223327
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Entity Type | Individual
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Provider Name | YEN DO DDS
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Gender | Female
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 717 GEARY ST SE STE 102
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City | ALBANY
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State | OR
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Zip | 97321-4822
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Country | US
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Telephone | 541-924-1086
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Fax |
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Provider Business Mailing Address
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Address Line | 7812 53RD AVE W
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City | LAKEWOOD
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State | WA
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Zip | 98499-8667
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Country | US
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Telephone | 253-306-9926
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DE60867888
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D12003
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE60867888
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D12003
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License Number State | OR
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