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General NPI Number Information
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NPI Number | 1922483494
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Entity Type | Organization
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Legal Business Name | T.HULAN YARBROUGH, DDS, INC.
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 1652 PAT BOOKER RD
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City | UNIVERSAL CITY
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State | TX
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Zip | 78148-3433
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Country | US
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Telephone | 210-658-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 1652 PAT BOOKER RD
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City | UNIVERSAL CITY
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State | TX
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Zip | 78148-3433
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Country | US
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Telephone | 210-658-4011
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Fax |
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Authorized Official
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Title or Position | TREATING DENTIST
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Name | DR. HUMAM AL-NAJJAR
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Credential | DDS
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Telephone | 210-658-4011
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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 | 28581
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License Number State | TX
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