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General NPI Number Information
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NPI Number | 1861214587
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Entity Type | Organization
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Legal Business Name | SUNFLOWER PEDIATRIC DENTISTRY BY YING AN DDS PHD LLC
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Dates
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Enumeration Date | 10/25/2024
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 13801 W CENTER ST UNIT 1
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City | BURTON
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State | OH
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Zip | 44021
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Country | US
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Telephone | 440-273-8104
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 428
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City | BURTON
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State | OH
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Zip | 44021-0428
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Country | US
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Telephone | 440-273-8104
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Fax | 440-273-8106
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Authorized Official
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Title or Position | OWNER
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Name | DR. YING AN
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Credential | DDS PHD
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Telephone | 440-273-8104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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