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General NPI Number Information
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NPI Number | 1760172779
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Entity Type | Organization
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Legal Business Name | YEU JIN BAIK, D.D.S., P.C.
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 271 E SOUTHLAKE BLVD STE 100
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6272
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Country | US
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Telephone | 817-329-6677
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Fax |
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Provider Business Mailing Address
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Address Line | 271 E SOUTHLAKE BLVD STE 100
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6272
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Country | US
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Telephone | 817-329-6677
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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. YEU JIN BAIK
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Credential | DDS
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Telephone | 516-640-6812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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