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General NPI Number Information
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NPI Number | 1871458828
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Entity Type | Individual
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Provider Name | YULEISY ANDREA ORTIZ ARDILA DDS
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 2727 W CAPITOL AVE
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-2220
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Country | US
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Telephone | 916-898-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 176 ASHE JUNIPER WAY
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City | MAGNOLIA
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State | TX
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Zip | 77354-7334
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Country | US
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Telephone |
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Fax |
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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 | DDS112550
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License Number State | CA
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