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General NPI Number Information
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NPI Number | 1306935945
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Entity Type | Individual
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Provider Name | YASAMAN SANAI DDS, MSD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1275 NE FRANKLIN AVE
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City | BREMERTON
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State | WA
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Zip | 98311-3005
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Country | US
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Telephone | 360-377-3272
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Fax | 360-782-2658
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Provider Business Mailing Address
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Address Line | 1275 NE FRANKLIN AVE
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City | BREMERTON
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State | WA
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Zip | 98311-3005
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Country | US
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Telephone | 360-377-3272
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Fax | 360-782-2658
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 8627
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License Number State | WA
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