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General NPI Number Information
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NPI Number | 1699882027
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Entity Type | Organization
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Legal Business Name | KEVIN A. TENN YUK, D.M.D, P.A.
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11382 PROSPERITY FARMS RD SUITE 130, BLDG G
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3463
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Country | US
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Telephone | 561-622-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 11382 PROSPERITY FARMS RD SUITE 130, BLDG G
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3463
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Country | US
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Telephone | 561-622-3100
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. KEVIN A TENN YUK
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Credential | D.M.D.
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Telephone | 561-622-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN15073
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License Number State | FL
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