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General NPI Number Information
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NPI Number | 1457749723
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Entity Type | Organization
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Legal Business Name | NGUYEN AND YANG DENTAL PARTNERSHIP
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Dates
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Enumeration Date | 01/08/2015
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 9855 ERMA RD STE 110
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City | SAN DIEGO
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State | CA
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Zip | 92131-1007
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Country | US
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Telephone | 858-578-2205
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Fax |
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Provider Business Mailing Address
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Address Line | 9855 ERMA RD STE 110
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City | SAN DIEGO
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State | CA
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Zip | 92131-1007
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Country | US
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Telephone | 858-578-2205
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JOSEPH YANG
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Credential | DDS
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Telephone | 858-353-8182
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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 |
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License Number State | CA
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