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General NPI Number Information
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NPI Number | 1275403404
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Entity Type | Individual
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Provider Name | DORINA EDESSA YOUHANA DDS
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Gender | Female
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 454 E CALAVERAS BLVD
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City | MILPITAS
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State | CA
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Zip | 95035-5412
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Country | US
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Telephone | 408-263-6694
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Fax |
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Provider Business Mailing Address
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Address Line | 6508 CIRCLE HILL DR
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City | SAN JOSE
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State | CA
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Zip | 95120-4507
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Country | US
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Telephone | 209-531-7732
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 111795
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License Number State | CA
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