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General NPI Number Information
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NPI Number | 1073679874
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Entity Type | Organization
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Legal Business Name | YUMA FAMILY DENTAL, PLLC
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 2201 S AVENUE A STE 101
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City | YUMA
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State | AZ
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Zip | 85364-8460
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Country | US
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Telephone | 928-783-2218
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Fax | 928-783-6399
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Provider Business Mailing Address
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Address Line | 2201 S AVENUE A STE 101
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City | YUMA
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State | AZ
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Zip | 85364-8460
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Country | US
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Telephone | 928-783-2218
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Fax | 928-783-6399
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. DARREN CRAIG BARROWS
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Credential | D.D.S.
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Telephone | 928-783-2218
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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 | 4815
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License Number State | IN
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