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General NPI Number Information
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NPI Number | 1518325539
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Entity Type | Organization
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Legal Business Name | YUNGMING CHIU D.D.S. INC.
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 17801 PIONEER BLVD STE H
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City | ARTESIA
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State | CA
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Zip | 90701-3962
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Country | US
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Telephone | 562-402-3388
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Fax | 562-924-8688
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Provider Business Mailing Address
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Address Line | 17801 PIONEER BLVD STE H
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City | ARTESIA
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State | CA
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Zip | 90701-3962
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Country | US
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Telephone | 562-402-3388
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Fax | 562-924-8688
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. YUNGMING CHIU
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Credential | D.D.S.
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Telephone | 562-402-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 36347
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License Number State | CA
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