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General NPI Number Information
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NPI Number | 1184353567
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Entity Type | Organization
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Legal Business Name | SNEHA YERRA DMD PLLC
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 15610 WOODINVILLE-DUVALL RD. SUITE 104
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City | WOODINVILLE
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State | WA
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Zip | 98072
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Country | US
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Telephone | 252-529-8602
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 159TH ST SE
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City | SNOHOMISH
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State | WA
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Zip | 98296-4640
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | SNEHA YERRA
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Credential |
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Telephone | 252-529-8602
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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 |
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License Number State |
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