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General NPI Number Information
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NPI Number | 1639347347
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Entity Type | Organization
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Legal Business Name | YEUNG'S DENTAL PC
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 217 GRAND STREET SUITE 801
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City | NEW YORK
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State | NY
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Zip | 10013
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Country | US
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Telephone | 212-680-0573
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Fax | 212-680-0113
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Provider Business Mailing Address
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Address Line | 217 GRAND ST SUITE 801
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City | NEW YORK
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State | NY
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Zip | 10013-4223
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Country | US
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Telephone | 212-680-0573
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Fax | 212-680-0113
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL YEUNG
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Credential | DDS
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Telephone | 212-680-0573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 049940
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License Number State | NY
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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 | 050392
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License Number State | NY
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