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General NPI Number Information
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NPI Number | 1558715789
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Entity Type | Individual
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Provider Name | YAEL JOSEPH GARCIA
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Gender | Female
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 21799 E ESTRELLA RD
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-4107
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Country | US
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Telephone | 313-468-3587
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Fax |
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Provider Business Mailing Address
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Address Line | 21799 E ESTRELLA RD
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-4107
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Country | US
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Telephone | 313-468-3587
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.025769
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | D012084
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License Number State | AZ
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