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General NPI Number Information
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NPI Number | 1487817474
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Entity Type | Organization
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Legal Business Name | JOCELYN E. YU, D.D.S., PLLC
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 2401 LITTLE ELM PKWY STE 1100
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City | LITTLE ELM
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State | TX
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Zip | 75068-2076
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Country | US
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Telephone | 972-370-9588
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Fax | 972-370-9587
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Provider Business Mailing Address
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Address Line | 2401 LITTLE ELM PKWY STE 1100
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City | LITTLE ELM
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State | TX
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Zip | 75068-2076
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Country | US
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Telephone | 972-370-9588
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Fax | 972-370-9587
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Authorized Official
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Title or Position | PEDIATRIC DENTIST/OWNER
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Name | JOCELYN YU
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Credential | DDS
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Telephone | 972-370-9588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 21237
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License Number State | TX
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