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General NPI Number Information
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NPI Number | 1124981030
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Entity Type | Individual
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Provider Name | IQRAH YAHYA RDH
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Gender | Female
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 17300 PRESTON RD STE 100
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City | DALLAS
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State | TX
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Zip | 75252-5636
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Country | US
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Telephone | 972-380-6223
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Fax |
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Provider Business Mailing Address
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Address Line | 7931 BANYAN WAY
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City | IRVING
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State | TX
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Zip | 75063-1801
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Country | US
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Telephone | 951-232-5718
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 20350
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License Number State | TX
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