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General NPI Number Information
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NPI Number | 1588753768
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Entity Type | Individual
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Provider Name | RAY YUKNA DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1635 URSULA ST
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City | AURORA
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State | CO
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Zip | 80045-7402
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Country | US
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Telephone | 720-848-0687
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Fax | 720-848-0689
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Provider Business Mailing Address
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Address Line | MAIL STOP F742 PO BOX 6510
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City | AURORA
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State | CO
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Zip | 80045
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Country | US
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Telephone | 720-848-0689
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Fax | 720-848-0660
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 5533
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License Number State | CO
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