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General NPI Number Information
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NPI Number | 1710760467
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Entity Type | Organization
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Legal Business Name | YACIEL F FERRERA DMD PLLC
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 295 S PLUMOSA ST
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3525
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Country | US
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Telephone | 321-452-6000
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Fax | 321-453-8823
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Provider Business Mailing Address
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Address Line | 295 S PLUMOSA ST
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3525
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Country | US
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Telephone | 321-452-6000
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Fax | 321-453-8823
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. YACIEL F FERRERA
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Credential | DMD
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Telephone | 407-744-6568
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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 |
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License Number State |
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