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General NPI Number Information
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NPI Number | 1437433240
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Entity Type | Organization
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Legal Business Name | ZHAO YU, D.D.S., PLLC
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 3420 TEN TEN ROAD SUITE 310
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City | CARY
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State | NC
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Zip | 27518-6101
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Country | US
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Telephone | 919-809-8810
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Fax | 919-809-8811
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Provider Business Mailing Address
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Address Line | 3420 TEN TEN ROAD SUITE 310
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City | CARY
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State | NC
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Zip | 27518-6101
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Country | US
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Telephone | 919-809-8810
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Fax | 919-809-8811
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Authorized Official
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Title or Position | DR. ZHAO J. YU
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Name | DR. ZHAO J YU
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Credential | D.D.S.
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Telephone | 919-809-8810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 8660
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License Number State | NC
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