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General NPI Number Information
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NPI Number | 1932990496
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Entity Type | Organization
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Legal Business Name | YAFFA BORUKHOVA DDS PC
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 400 S OYSTER BAY RD STE 105
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City | HICKSVILLE
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State | NY
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Zip | 11801-3500
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Country | US
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Telephone | 513-396-1577
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Fax | 516-396-9820
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Provider Business Mailing Address
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Address Line | 400 S OYSTER BAY RD STE 105
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City | HICKSVILLE
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State | NY
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Zip | 11801-3500
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Country | US
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Telephone | 513-396-1577
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Fax | 516-396-9820
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. YAFFA BORUKHOVA
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Credential | DDS
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Telephone | 513-396-1577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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