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General NPI Number Information
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NPI Number | 1093722704
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Entity Type | Individual
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Provider Name | MOHAMMAD YASSER ASCHA DDS
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1111 W COVINA BLVD SUITE 210
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City | SAN DIMAS
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State | CA
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Zip | 91773
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Country | US
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Telephone | 909-599-3685
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Fax | 909-592-5927
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Provider Business Mailing Address
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Address Line | 1111 W COVINA BLVD SUITE 210
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City | SAN DIMAS
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State | CA
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Zip | 91773
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Country | US
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Telephone | 909-599-3685
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Fax | 909-592-5927
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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 | 31012
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License Number State | CA
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