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General NPI Number Information
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NPI Number | 1841687100
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Entity Type | Individual
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Provider Name | ALAN JAY YEE D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 3880 CHICAGO AVE
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City | RIVERSIDE
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State | CA
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Zip | 92507-5354
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Country | US
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Telephone | 951-643-6104
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 GARVEY AVE APT 235
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City | ALHAMBRA
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State | CA
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Zip | 91803-5217
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Country | US
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Telephone | 617-775-2388
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DDS108110
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License Number State | CA
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