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General NPI Number Information
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NPI Number | 1417605981
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Entity Type | Organization
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Legal Business Name | YULIA CHIGIR DENTAL CORPORATION
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 455 W STUART AVE STE B103
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City | REDLANDS
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State | CA
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Zip | 92374-3177
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Country | US
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Telephone | 845-729-3527
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Fax |
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Provider Business Mailing Address
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Address Line | 26447 CITRUS AVE
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City | LOMA LINDA
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State | CA
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Zip | 92354-6103
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YULIA CHIGIR
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Credential | DDS
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Telephone | 845-729-3527
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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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