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General NPI Number Information
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NPI Number | 1851622203
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Entity Type | Organization
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Legal Business Name | YI JULIA YANG, DDS, PC
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 24 ADAMS ST
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City | QUINCY
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State | MA
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Zip | 02169-2018
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Country | US
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Telephone | 857-233-6254
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Fax |
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Provider Business Mailing Address
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Address Line | 24 ADAMS ST
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City | QUINCY
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State | MA
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Zip | 02169-2018
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YI JULIA YANG
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Credential | DDS
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Telephone | 857-233-6254
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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 | DN1855198
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License Number State | MA
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