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General NPI Number Information
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NPI Number | 1932981941
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Entity Type | Individual
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Provider Name | YUK YEUNG CHAN DMD
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Gender | Female
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 29276 ERICKSON DR
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City | EASTON
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State | MD
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Zip | 21601-8613
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Country | US
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Telephone | 443-205-4757
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Fax |
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Provider Business Mailing Address
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Address Line | 121 HENRY STOUPE WAY
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City | CHESTER
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State | MD
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Zip | 21619-2890
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Country | US
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Telephone | 617-515-8266
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 18183
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License Number State | MD
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