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General NPI Number Information
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NPI Number | 1326927385
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Entity Type | Organization
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Legal Business Name | YARACO PLLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 1100 NW LOOP 410 STE 550
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City | SAN ANTONIO
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State | TX
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Zip | 78213-2257
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Country | US
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Telephone | 210-344-4443
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Fax |
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Provider Business Mailing Address
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Address Line | 7714 HAYS HL
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City | SAN ANTONIO
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State | TX
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Zip | 78256-1906
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Country | US
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Telephone | 949-331-7276
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Fax |
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Authorized Official
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Title or Position | DENTIST, OWNER
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Name | DR. AZADEH ABDOLLAHI
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Credential | DDS
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Telephone | 949-331-7276
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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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