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General NPI Number Information
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NPI Number | 1831538677
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Entity Type | Individual
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Provider Name | JOHANNA YEPEZ D.D.S, M.S.D
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Gender | Female
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 01/25/2019
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Provider Practice Location Address
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Address Line | 927 STUDEWOOD ST STE 300
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City | HOUSTON
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State | TX
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Zip | 77008-1579
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Country | US
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Telephone | 713-234-1810
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Fax | 713-609-9434
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Provider Business Mailing Address
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Address Line | 927 STUDEWOOD ST STE 300
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City | HOUSTON
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State | TX
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Zip | 77008-1579
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Country | US
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Telephone | 713-234-1810
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Fax | 713-609-9434
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 28831
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License Number State | TX
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