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General NPI Number Information
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NPI Number | 1669533089
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Entity Type | Individual
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Provider Name | BRANDI R YATES DMD
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 02/05/2015
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Provider Practice Location Address
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Address Line | 750 W MAIN ST
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City | MOREHEAD
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State | KY
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Zip | 40351-1444
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Country | US
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Telephone | 606-783-0182
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Fax | 606-783-0272
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Provider Business Mailing Address
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Address Line | 230 N PLAZA DR STE 230
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-2511
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Country | US
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Telephone | 859-881-9398
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Fax | 859-881-3689
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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 | 8202
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License Number State | KY
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