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General NPI Number Information
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NPI Number | 1447461173
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Entity Type | Individual
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Provider Name | JU YON SOPHIE YI MD, DDS
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 450 NW GILMAN BLVD STE 101
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City | ISSAQUAH
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State | WA
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Zip | 98027-2483
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Country | US
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Telephone | 425-961-9600
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Fax | 425-961-9601
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Provider Business Mailing Address
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Address Line | 450 NW GILMAN BLVD STE 101
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City | ISSAQUAH
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State | WA
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Zip | 98027-2483
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Country | US
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Telephone | 425-961-9600
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Fax | 425-961-9601
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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 | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | MD.MD.60287405
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DENT.DE.60286345
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | MD.MD.60287405
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License Number State | WA
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