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General NPI Number Information
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NPI Number | 1336807437
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Entity Type | Organization
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Legal Business Name | YAMILA NORIEGA-ABREU, DMD, PLLC
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 3443 TAMIAMI TRL STE F
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8159
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Country | US
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Telephone | 941-629-8187
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Fax |
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Provider Business Mailing Address
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Address Line | 3443 TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8159
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Country | US
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Telephone | 941-629-8187
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Fax | 941-629-2498
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Authorized Official
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Title or Position | OWNER
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Name | YAMILA NORIEGA ABREU
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Credential | DMD
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Telephone | 908-910-1382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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