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General NPI Number Information
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NPI Number | 1891074183
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Entity Type | Individual
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Provider Name | MARIA ALEJANDRA YANEZ BRAVO DDS
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Gender | Female
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 995 N MIAMI BEACH BLVD SUITE # 137
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3721
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Country | US
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Telephone | 305-945-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 20904 LEEWARD CT # 221
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City | AVENTURA
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State | FL
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Zip | 33180-3873
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Country | US
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Telephone | 305-496-3856
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN19497
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401413257
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License Number State | VA
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