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General NPI Number Information
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NPI Number | 1427849165
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Entity Type | Individual
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Provider Name | YASHAR GHORBANI DDS
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Gender | Male
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 555 S SUNRISE WAY STE 400
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City | PALM SPRINGS
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State | CA
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Zip | 92264-7894
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Country | US
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Telephone | 760-904-5486
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Fax |
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Provider Business Mailing Address
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Address Line | 41 VISTA MIRAGE WAY
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1906
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Country | US
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Telephone | 909-510-2420
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Fax | 909-510-2420
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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 | 111488
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License Number State | CA
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