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General NPI Number Information
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NPI Number | 1215403555
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Entity Type | Organization
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Legal Business Name | YANINA JOUZY DDS INC.
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Dates
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Enumeration Date | 10/14/2018
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Last Update Date | 10/14/2018
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Provider Practice Location Address
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Address Line | 1033 W ARROW HWY
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City | SAN DIMAS
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State | CA
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Zip | 91773-2422
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Country | US
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Telephone | 909-447-7092
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Fax |
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Provider Business Mailing Address
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Address Line | 1033 W ARROW HWY
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City | SAN DIMAS
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State | CA
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Zip | 91773-2422
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Country | US
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Telephone | 909-447-7092
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YANINA JOUZY
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Credential | DDS
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Telephone | 310-487-4542
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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