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General NPI Number Information
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NPI Number | 1801046222
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Entity Type | Individual
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Provider Name | SANDRA H. YU D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2008
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Last Update Date | 09/22/2008
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Provider Practice Location Address
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Address Line | 7670 W LAKE MEAD BLVD 130
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City | LAS VEGAS
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State | NV
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Zip | 89128-6649
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Country | US
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Telephone | 702-312-2273
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Fax | 702-995-0116
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Provider Business Mailing Address
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Address Line | 3755 BROADMEAD ST
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City | LAS VEGAS
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State | NV
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Zip | 89147-1052
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Country | US
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Telephone | 702-580-6459
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Fax | 702-252-7846
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5747
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License Number State | NV
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