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General NPI Number Information
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NPI Number | 1205263084
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Entity Type | Organization
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Legal Business Name | YARON MILLER BDS INC
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Dates
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Enumeration Date | 10/11/2013
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Last Update Date | 10/11/2013
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Provider Practice Location Address
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Address Line | 138 CIVIC CENTER DR SUITE 115
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City | VISTA
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State | CA
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Zip | 92084-6015
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Country | US
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Telephone | 760-630-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 12834 HARWICK LN
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City | SAN DIEGO
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State | CA
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Zip | 92130-2707
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Country | US
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Telephone | 858-722-8558
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YARON MILLER
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Credential | BDS
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Telephone | 858-722-8558
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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 | 60337
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License Number State | CA
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