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General NPI Number Information
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NPI Number | 1366782740
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Entity Type | Individual
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Provider Name | YANINA CHAMBI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 02/22/2013
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 985 KENDALL DR STE B
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City | SAN BERNARDINO
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State | CA
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Zip | 92407-4315
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Country | US
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Telephone | 360-746-0946
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Fax |
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Provider Business Mailing Address
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Address Line | 1447 ELIZABETH ST
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City | REDLANDS
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State | CA
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Zip | 92373-7016
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Country | US
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Telephone | 951-961-8345
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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 | 60642900
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License Number State | WA
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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 | 53197
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License Number State | CA
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