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General NPI Number Information
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NPI Number | 1679794440
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Entity Type | Individual
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Provider Name | HARRY YU HE DDS
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/19/2012
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Provider Practice Location Address
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Address Line | 10108 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3704
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Country | US
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Telephone | 626-272-2883
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 PRESIDENTIAL BLVD 1909
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City | PHILADELPHIA
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State | PA
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Zip | 19131-1727
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Country | US
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Telephone | 626-272-2883
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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 | 50754
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License Number State | CA
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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 | DS038199
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | G1-0001311
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License Number State | DE
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