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General NPI Number Information
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NPI Number | 1457751976
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Entity Type | Organization
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Legal Business Name | YURY BERSHADSKY D.D.S. INC.
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 10108 TOPANGA CANYON BLVD
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City | CHATSWORTH
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State | CA
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Zip | 91311-2801
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Country | US
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Telephone | 818-709-6713
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Fax | 818-709-5917
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Provider Business Mailing Address
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Address Line | 10108 TOPANGA CANYON BLVD
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City | CHATSWORTH
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State | CA
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Zip | 91311-2801
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Country | US
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Telephone | 818-709-6713
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Fax | 818-709-5917
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Authorized Official
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Title or Position | DENTIST
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Name | YURY BERSHADSKY
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Credential | DDS
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Telephone | 818-709-6719
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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 |
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License Number State |
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