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General NPI Number Information
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NPI Number | 1861530412
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Entity Type | Organization
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Legal Business Name | JAMES T. YANG, D.D.S., P.A.
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 10189 CLEARY BLVD SUITE 201
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City | PLANTATION
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State | FL
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Zip | 33324-1027
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Country | US
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Telephone | 954-472-5500
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Fax | 954-472-5510
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Provider Business Mailing Address
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Address Line | 10189 CLEARY BLVD SUITE 201
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City | PLANTATION
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State | FL
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Zip | 33324-1027
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Country | US
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Telephone | 954-472-5500
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Fax | 954-472-5510
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES T YANG
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Credential | D.D.S.
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Telephone | 954-472-5500
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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 | DN-14690
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License Number State | FL
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