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General NPI Number Information
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NPI Number | 1851012900
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Entity Type | Organization
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Legal Business Name | YULIYA RABINOVICH DENTAL PC
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 09/07/2022
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Provider Practice Location Address
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Address Line | 562 E CASTLE PINES PKWY STE C8
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City | CASTLE PINES
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State | CO
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Zip | 80108-4609
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Country | US
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Telephone | 720-722-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 562 E CASTLE PINES PKWY STE C8
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City | CASTLE PINES
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State | CO
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Zip | 80108-4609
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Country | US
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Telephone | 720-722-8700
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Fax |
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Authorized Official
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Title or Position | OWNER / DENTIST
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Name | YULIYA RABINOVICH
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Credential | DDS
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Telephone | 720-722-8700
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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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