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General NPI Number Information
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NPI Number | 1043619299
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Entity Type | Individual
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Provider Name | ZENA SADIK-YOSIF DMD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2014
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Last Update Date | 10/10/2021
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Provider Practice Location Address
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Address Line | 9950 JONES BRIDGE RD STE 700
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City | JOHNS CREEK
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State | GA
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Zip | 30022-6577
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Country | US
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Telephone | 678-366-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 9950 JONES BRIDGE RD STE 700
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City | JOHNS CREEK
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State | GA
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Zip | 30022-6577
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Country | US
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Telephone | 678-366-1000
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN015092
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS040071
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License Number State | PA
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