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General NPI Number Information
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NPI Number | 1104278837
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Entity Type | Individual
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Provider Name | VARUN YADAV DMD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 5677 GIBRALTAR DRIVE STE B
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City | PLEASANTON
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State | CA
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Zip | 94588
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Country | US
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Telephone | 925-225-9855
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Fax | 925-225-9865
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Provider Business Mailing Address
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Address Line | 584 SOUTH MATHILDA AVENUE SUITE 1
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City | SUNNYVALE
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State | CA
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Zip | 94086
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Country | US
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Telephone | 408-732-7982
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Fax | 408-732-4190
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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 | 101672
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License Number State | CA
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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 | DDS101672
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License Number State | CA
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