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General NPI Number Information
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NPI Number | 1649931205
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Entity Type | Individual
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Provider Name | YE SHI D.D.S
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Gender | Female
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 345 E 24TH ST # 3W
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 212-992-7040
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Fax |
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Provider Business Mailing Address
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Address Line | 4545 CENTER BLVD APT 2002
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City | LONG ISLAND CITY
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State | NY
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Zip | 11109-5940
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Country | US
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Telephone | 347-933-3424
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 0401417635
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 000122
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | AD.0000533
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License Number State | CO
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