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General NPI Number Information
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NPI Number | 1396975611
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Entity Type | Individual
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Provider Name | JENNA ANN YARBOROUGH D.D.S
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Gender | Female
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 8040 E INDIAN SCHOOL RD #110
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-2685
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Country | US
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Telephone | 888-238-0845
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Fax |
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Provider Business Mailing Address
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Address Line | 373 LOS CERROS DR
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City | GREENBRAE
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State | CA
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Zip | 94904-1122
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Country | US
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Telephone | 415-717-8699
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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 | 7834
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License Number State | AZ
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