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General NPI Number Information
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NPI Number | 1841963121
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Entity Type | Individual
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Provider Name | NATALIE YAM DDS, MMSC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2021
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 30 E 60TH ST STE 703
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City | NEW YORK
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State | NY
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Zip | 10022-1076
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Country | US
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Telephone | 212-213-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 9136 71ST RD
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City | FOREST HILLS
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State | NY
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Zip | 11375-6711
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Country | US
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Telephone | 646-470-2228
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DN1859133
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 22DI03045700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 063974
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License Number State | NY
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