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General NPI Number Information
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NPI Number | 1649741190
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Entity Type | Organization
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Legal Business Name | DR. GEORGE M YELLICH DDS MS INC
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Dates
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Enumeration Date | 12/10/2018
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 950 CASS ST STE A
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City | MONTEREY
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State | CA
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Zip | 93940-4547
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Country | US
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Telephone | 831-718-8140
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Fax | 831-920-2343
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Provider Business Mailing Address
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Address Line | 552 MONHOLLAN RD
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City | CARMEL
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State | CA
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Zip | 93923-9459
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Country | US
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Telephone | 408-242-6548
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE MICHAEL YELLICH
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Credential | DDS MS
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Telephone | 408-858-3051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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