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General NPI Number Information
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NPI Number | 1952471740
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Entity Type | Organization
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Legal Business Name | PROSTHODENT P.C.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 60 BALDWIN RD STE 104
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City | PARSIPPANY
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State | NJ
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Zip | 07054-2901
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Country | US
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Telephone | 973-263-3006
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Fax | 973-299-3990
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Provider Business Mailing Address
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Address Line | 60 BALDWIN RD STE 104
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City | PARSIPPANY
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State | NJ
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Zip | 07054-2901
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Country | US
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Telephone | 973-263-3006
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Fax | 973-299-3990
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHUYUAN J YANG
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Credential | DDS
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Telephone | 973-263-3006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DI18776
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License Number State | NJ
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