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General NPI Number Information
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NPI Number | 1427420843
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Entity Type | Individual
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Provider Name | NEELIMA KRISHNA YERRA DDS
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Gender | Female
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Dates
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Enumeration Date | 10/25/2015
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 5507 RITCHIE HWY STE A
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City | BROOKLYN
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State | MD
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Zip | 21225-3472
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Country | US
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Telephone | 408-802-0656
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Fax |
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Provider Business Mailing Address
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Address Line | 10348 PUCCINI LN
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-2828
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Country | US
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Telephone | 408-802-0656
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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 | 16161
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License Number State | MD
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