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General NPI Number Information
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NPI Number | 1306390778
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Entity Type | Individual
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Provider Name | YASMIN CHEBBI DMD
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Gender | Female
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 32 SOUTH ST STE 100
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City | WALTHAM
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State | MA
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Zip | 02453-3555
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Country | US
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Telephone | 617-684-1883
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Fax |
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Provider Business Mailing Address
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Address Line | 65 BROOK ST
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City | BROOKLINE
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State | MA
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Zip | 02445-6913
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Country | US
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Telephone |
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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 | DN185273
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License Number State | MA
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