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General NPI Number Information
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NPI Number | 1669537163
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Entity Type | Individual
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Provider Name | YANG RUAN D.M.D
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Gender | Female
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 70 S STATE ST
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City | VINELAND
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State | NJ
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Zip | 08360-4851
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Country | US
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Telephone | 856-205-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 13 GALAXY CT
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City | SEWELL
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State | NJ
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Zip | 08080-2213
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Country | US
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Telephone | 856-256-0314
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DI 022929
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License Number State | NJ
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