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General NPI Number Information
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NPI Number | 1629508072
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Entity Type | Individual
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Provider Name | ZORYANA YUFAN DMD
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Gender | Female
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8750 PERIMETER PARK BLVD STE 101
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City | JACKSONVILLE
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State | FL
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Zip | 32216
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Country | US
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Telephone | 904-725-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 3894 LIONHEART DR
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City | JACKSONVILLE
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State | FL
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Zip | 32216-3602
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Country | US
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Telephone | 845-500-1090
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN22555
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License Number State | FL
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