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General NPI Number Information
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NPI Number | 1295810612
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Entity Type | Organization
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Legal Business Name | DR. ARTHUR V. YACENDA DDS INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | HC 32 BOX 78
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City | YUKON
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State | WV
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Zip | 24892-7603
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Country | US
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Telephone | 304-875-4612
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Fax |
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Provider Business Mailing Address
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Address Line | HC 32 BOX 78
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City | YUKON
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State | WV
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Zip | 24892-7603
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Country | US
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Telephone | 304-875-4612
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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. ARTHUR V YACENDA
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Credential | DDS
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Telephone | 304-875-4612
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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 | 2226
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License Number State | WV
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