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General NPI Number Information
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NPI Number | 1871985671
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Entity Type | Organization
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Legal Business Name | ALPHA DENTAL WHITEHALL-MING YU DDS, LLC
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 4121 E MAIN ST
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City | WHITEHALL
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State | OH
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Zip | 43213-2951
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Country | US
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Telephone | 614-853-3232
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Fax | 614-853-1313
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Provider Business Mailing Address
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Address Line | 4121 E. MAIN STREET
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City | WHITEHALL
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State | OH
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Zip | 43213
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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 | OWNER
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Name | DR. MING S YU
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Credential | DDS
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Telephone | 626-731-1173
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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 | 30023003
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License Number State | OH
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