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General NPI Number Information
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NPI Number | 1184893737
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Entity Type | Individual
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Provider Name | YAMAN MOHAMAD KANA DDS
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Gender | Male
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1049 MAIN ST
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City | SPRINGFIELD
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State | MA
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Zip | 01103-2114
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Country | US
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Telephone | 413-304-4606
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Fax | 413-304-4670
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Provider Business Mailing Address
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Address Line | 63 MAIN ST
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City | BROCKTON
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State | MA
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Zip | 02301-4042
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Country | US
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Telephone | 508-559-6699
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Fax | 508-559-5073
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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 | 05241
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30125
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DL100726
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License Number State | MA
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