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General NPI Number Information
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NPI Number | 1942876230
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Entity Type | Organization
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Legal Business Name | RABIA YILAN DDS P.C.
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 380 N BROADWAY STE 301
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City | JERICHO
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State | NY
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Zip | 11753-2109
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Country | US
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Telephone | 631-822-5757
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Fax | 631-822-0026
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Provider Business Mailing Address
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Address Line | 22 LAVENDER LN
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City | HOLTSVILLE
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State | NY
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Zip | 11742-2559
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Country | US
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Telephone | 631-569-6707
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Fax | 631-822-0026
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RABIA O YILAN
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Credential | DDS
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Telephone | 631-569-6707
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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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