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General NPI Number Information
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NPI Number | 1841341732
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Entity Type | Individual
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Provider Name | RENEE YUROVSKY DDS
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | 1831 CHESTNUT ST SUITE 100
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City | PHILADELPHIA
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State | PA
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Zip | 19103-3713
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Country | US
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Telephone | 215-545-1202
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Fax | 215-545-1239
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Provider Business Mailing Address
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Address Line | 1831 CHESTNUT ST. SUITE 100
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City | PHILADELPHIA
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State | PA
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Zip | 19103
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Country | US
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Telephone | 215-545-1202
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Fax | 215-545-1239
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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 | DS031579L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DI02281600
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License Number State | NJ
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