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General NPI Number Information
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NPI Number | 1225759665
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Entity Type | Individual
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Provider Name | MYRIAM MEME DDS
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Gender | Female
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Dates
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Enumeration Date | 09/05/2022
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1970 UNIVERSITY AVE
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City | RIVERSIDE
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State | CA
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Zip | 92507-5202
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Country | US
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Telephone | 833-867-4642
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Fax |
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Provider Business Mailing Address
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Address Line | 324 S DIAMOND BAR BLVD # 1080
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City | DIAMOND BAR
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State | CA
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Zip | 91765-1607
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Country | US
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Telephone | 754-281-1266
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 107967
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License Number State | CA
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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 | 107967
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License Number State | CA
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