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General NPI Number Information
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NPI Number | 1912061730
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Entity Type | Individual
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Provider Name | ISABEL MILES YARBROUGH D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4530 BONNELL DR NW SUITE 'A'
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City | HUNTSVILLE
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State | AL
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Zip | 35816-2002
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Country | US
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Telephone | 256-430-3478
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Fax | 256-430-0191
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Provider Business Mailing Address
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Address Line | 204 CHESWICK DR
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City | MADISON
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State | AL
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Zip | 35757-8720
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Country | US
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Telephone | 256-864-0336
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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 | AL3819
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License Number State | AL
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