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General NPI Number Information
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NPI Number | 1629415625
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Entity Type | Individual
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Provider Name | SUJIN YI DDS
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Gender | Female
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 5600 W 44TH AVE
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City | DENVER
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State | CO
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Zip | 80212-7339
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Country | US
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Telephone | 350-472-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 3113 N FRANKLIN ST
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City | DENVER
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State | CO
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Zip | 80205-3967
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Country | US
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Telephone | 719-440-6891
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Fax |
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 201883
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License Number State | CO
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