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General NPI Number Information
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NPI Number | 1629325592
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Entity Type | Individual
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Provider Name | YENEIR URQUIZA DIGGLE D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2012
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 4000 ATLANTIC BLVD STE 101
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City | VERO BEACH
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State | FL
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Zip | 32960-2479
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Country | US
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Telephone | 772-567-2132
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Fax |
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Provider Business Mailing Address
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Address Line | 700 SE BECKER RD # 101
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34984-6621
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Country | US
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Telephone | 786-301-5629
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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 | DN19806
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 19806
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License Number State | FL
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