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General NPI Number Information
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NPI Number | 1508437716
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Entity Type | Organization
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Legal Business Name | YING ZHAO DDS PA
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 1417 STRATFORD RIDGE LN
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City | CARY
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State | NC
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Zip | 27519-9014
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Country | US
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Telephone | 919-607-3760
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Fax |
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Provider Business Mailing Address
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Address Line | 1417 STRATFORD RIDGE LN
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City | CARY
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State | NC
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Zip | 27519-9014
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Country | US
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Telephone | 919-607-3760
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | YING ZHAO
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Credential | DDS
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Telephone | 919-607-3760
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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