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General NPI Number Information
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NPI Number | 1982151320
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Entity Type | Individual
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Provider Name | OLGA YANKELEVICH DDS
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 600 N MAIN ST
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City | ROCHESTER
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State | MI
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Zip | 48307-1491
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Country | US
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Telephone | 248-652-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 11 S MILL ST STE 200
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City | NEW CASTLE
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State | PA
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Zip | 16101-3680
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901022076
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License Number State | MI
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