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General NPI Number Information
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NPI Number | 1124248372
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Entity Type | Organization
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Legal Business Name | YARBROUGH & YARBROUGH DDS PC
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 1101 EAST JEFFERSON STREET SUITE #7
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5353
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Country | US
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Telephone | 434-971-7400
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Fax | 434-971-7404
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Provider Business Mailing Address
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Address Line | 1101 EAST JEFFERSON STREET SUITE #7
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5353
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Country | US
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Telephone | 434-971-7400
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Fax | 434-971-7404
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Authorized Official
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Title or Position | FINANCIAL ADMINISTRATOR
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Name | MRS. JOANNE G BURKHOLDER
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Credential |
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Telephone | 434-971-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3562
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License Number State |
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