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General NPI Number Information
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NPI Number | 1316458797
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Entity Type | Individual
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Provider Name | MARC YOUKEL DMD
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Gender | Male
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Dates
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Enumeration Date | 10/12/2017
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Last Update Date | 11/16/2025
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Provider Practice Location Address
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Address Line | 2072 E SOUTHERN AVE STE A103
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City | TEMPE
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State | AZ
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Zip | 85282-7500
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Country | US
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Telephone | 480-756-0194
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Fax |
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Provider Business Mailing Address
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Address Line | 7025 E VIA SOLERI DR APT 4004
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-1428
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Country | US
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Telephone | 802-355-9545
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 012632
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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