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General NPI Number Information
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NPI Number | 1033312947
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Entity Type | Organization
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Legal Business Name | YOHAMA LORENZO DMD, PA
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7000 SW 97 AVE., SUITE 204
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-279-0717
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Fax | 305-279-0713
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Provider Business Mailing Address
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Address Line | 1620 DAYTONIA ROAD
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City | MIAMI BEACH
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State | FL
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Zip | 33141
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Country | US
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Telephone | 305-867-9457
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YOHAMA LORENZO
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Credential | DMD
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Telephone | 305-279-0717
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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 | 008097
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License Number State | FL
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