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General NPI Number Information
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NPI Number | 1447687017
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Entity Type | Organization
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Legal Business Name | RENEE YUROVSKY, D.D.S., P.C.
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Dates
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Enumeration Date | 09/27/2013
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 1831 CHESTNUT ST. SUITE 100
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City | PHILADELPHIA
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State | PA
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Zip | 19103
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Country | US
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Telephone | 215-545-1202
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Fax |
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Provider Business Mailing Address
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Address Line | 1831 CHESTNUT ST. SUITE 100
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City | PHILADELPHIA
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State | PA
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Zip | 19103
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Country | US
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Telephone | 215-545-1202
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RENEE YUROVSKY
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Credential | D.D.S.
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Telephone | 215-545-1202
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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 | DS027407L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS031579L
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License Number State | PA
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