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General NPI Number Information
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NPI Number | 1306299037
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Entity Type | Individual
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Provider Name | COREY PAUL YAMASHITA PAULINO DMD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 3760 W NORTHWEST HWY
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City | DALLAS
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State | TX
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Zip | 75220-4943
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Country | US
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Telephone | 480-262-5802
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Fax |
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Provider Business Mailing Address
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Address Line | 3446 MELVINA DR
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City | FRISCO
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State | TX
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Zip | 75033-1052
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Country | US
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Telephone | 480-262-5802
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 41255
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 11643
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License Number State | TN
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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 | 100399
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 11643
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License Number State | TN
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