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General NPI Number Information
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NPI Number | 1902544471
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Entity Type | Organization
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Legal Business Name | YELLOW CITY SMILES PLLC
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 7200 SW 45TH AVE
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City | AMARILLO
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State | TX
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Zip | 79109-5025
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Country | US
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Telephone | 806-677-0202
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 SW 45TH AVE UNIT 5
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City | AMARILLO
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State | TX
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Zip | 79109-5084
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Country | US
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Telephone | 806-677-0202
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Fax | 806-677-0205
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Authorized Official
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Title or Position | DENTIST
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Name | JACOB WOODS
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Credential |
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Telephone | 830-377-7050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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