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General NPI Number Information
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NPI Number | 1447341706
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Entity Type | Individual
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Provider Name | HAMID YOUNESI D.D.S
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 10/12/2016
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Provider Practice Location Address
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Address Line | 73585 FRED WARING DRIVE SUITE 101
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City | PALM DESERT
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State | CA
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Zip | 92260
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Country | US
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Telephone | 760-773-0052
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Fax | 760-773-0710
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Provider Business Mailing Address
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Address Line | 73585 FRED WARING DR SUITE 101
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City | PALM DESERT
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State | CA
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Zip | 92260-7802
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Country | US
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Telephone | 760-773-0052
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Fax | 760-773-0710
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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 | 45796
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License Number State | CA
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