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General NPI Number Information
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NPI Number | 1366139065
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Entity Type | Individual
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Provider Name | VINAY KUMAR PILLY YADAIAH DDS, MPH, MSC
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Gender | Male
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Dates
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Enumeration Date | 04/21/2023
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 701 INDIAN TRL STE C
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City | HARKER HEIGHTS
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State | TX
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Zip | 76548-3054
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Country | US
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Telephone | 254-944-2443
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Fax |
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Provider Business Mailing Address
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Address Line | 2221 CLINTON ST UNIT 4401
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City | AURORA
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State | CO
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Zip | 80010-1076
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Country | US
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Telephone | 225-614-1727
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 41343
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 41343
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License Number State | TX
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