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General NPI Number Information
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NPI Number | 1952513376
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Entity Type | Individual
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Provider Name | PING YAO D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1401 ROUTE 300
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City | NEWBURGH
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State | NY
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Zip | 12550-2990
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Country | US
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Telephone | 845-283-2975
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Fax | 914-752-0803
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Provider Business Mailing Address
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Address Line | 20 COLONIAL DR
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City | GOSHEN
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State | NY
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Zip | 10924-6423
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Country | US
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Telephone | 845-283-2975
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Fax | 914-752-0803
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 049180-6
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License Number State | NY
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