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General NPI Number Information
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NPI Number | 1003783788
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Entity Type | Individual
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Provider Name | YUSRA ELTAHIR DDS
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Gender | Female
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 31954 COUNTRY CLUB DR
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City | PORTERVILLE
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State | CA
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Zip | 93257-9607
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Country | US
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Telephone | 844-887-6368
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Fax |
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Provider Business Mailing Address
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Address Line | 305 E CENTER AVE
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City | VISALIA
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State | CA
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Zip | 93291-6331
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Country | US
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Telephone | 844-767-0540
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 112464
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License Number State | CA
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