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General NPI Number Information
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NPI Number | 1851102602
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Entity Type | Organization
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Legal Business Name | JANET YASUDA DMD PLLC
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 3301 NEW MEXICO AVE NW STE 123
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City | WASHINGTON
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State | DC
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Zip | 20016-3622
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Country | US
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Telephone | 202-350-2610
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Fax | 202-935-2612
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Provider Business Mailing Address
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Address Line | 3301 NEW MEXICO AVE NW STE 123
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City | WASHINGTON
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State | DC
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Zip | 20016-3622
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Country | US
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Telephone | 202-350-2610
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Fax | 202-935-2612
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Authorized Official
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Title or Position | OWNER
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Name | JANET YASUDA
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Credential | DMD, MS
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Telephone | 202-350-2610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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