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1912061730 NPI number — ISABEL MILES YARBROUGH D.D.S.

NPI Number: 1912061730
Health Care Provider/Practitioner: ISABEL MILES YARBROUGH D.D.S.

Information about “1912061730” NPI (ISABEL MILES YARBROUGH D.D.S.) exists in 1912061730 in HTML format HTML  |  1912061730 in plain Text format TXT  |  1912061730 in PDF (Portable Document Format) PDF  |  1912061730 in an XML format XML  formats.

NPI Number : 1912061730 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912061730",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YARBROUGH",
    "FirstName": "ISABEL",
    "MiddleName": "MILES",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "204 CHESWICK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MADISON",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35757-8720",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "256-864-0336",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4530 BONNELL DR NW",
    "SecondLinePracticeLocationAddress": "SUITE 'A'",
    "PracticeLocationAddressCityName": "HUNTSVILLE",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35816-2002",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "256-430-3478",
    "PracticeLocationAddressFaxNumber": "256-430-0191",
    "EnumerationDate": "12/19/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "AL3819",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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