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General NPI Number Information
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NPI Number | 1851790612
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Entity Type | Organization
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Legal Business Name | ARELLANO, CHUI, THAI & YABU, DDS, INC.
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 43575 MISSION BLVD #515
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City | FREMONT
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State | CA
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Zip | 94539-5831
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Country | US
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Telephone | 510-368-5582
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Fax |
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Provider Business Mailing Address
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Address Line | 43575 MISSION BLVD #515
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City | FREMONT
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State | CA
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Zip | 94539-5831
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Country | US
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Telephone | 510-368-5582
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. ERIC M YABU
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Credential | D.D.S.
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Telephone | 510-368-5582
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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 | 41329
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License Number State | CA
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