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General NPI Number Information
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NPI Number | 1689431546
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Entity Type | Organization
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Legal Business Name | STEPHANIE S. YI DDS PLLC
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Dates
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Enumeration Date | 03/06/2024
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 1305 NE 43RD ST APT 104
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City | SEATTLE
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State | WA
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Zip | 98105-5810
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Country | US
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Telephone | 206-633-0268
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Fax |
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Provider Business Mailing Address
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Address Line | 25039 235TH WAY SE
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-5908
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Country | US
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Telephone | 206-954-0523
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. STEPHANIE SANGAH YI
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Credential | DDS
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Telephone | 206-954-0523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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