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General NPI Number Information
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NPI Number | 1023038049
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Entity Type | Individual
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Provider Name | VALERIE L YANISZEWSKI DMD
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 6237 CAROLINA COMMONS DR STE 330
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City | INDIAN LAND
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State | SC
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Zip | 29707-6014
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Country | US
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Telephone | 803-547-9786
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Fax | 803-547-6777
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Provider Business Mailing Address
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Address Line | 855 HARVEST POINTE DR
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City | FORT MILL
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State | SC
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Zip | 29708-7707
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Country | US
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Telephone | 803-984-0682
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Fax | 803-547-6777
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3983
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License Number State | SC
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