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General NPI Number Information
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NPI Number | 1568223204
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Entity Type | Individual
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Provider Name | YULIANA VIRAMONTES R.D.H.A.P.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2024
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 13450 PALA AVE
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City | SYLMAR
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State | CA
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Zip | 91342-1157
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Country | US
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Telephone | 818-564-5647
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Fax |
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Provider Business Mailing Address
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Address Line | 16825 DEVONSHIRE ST 140
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City | GRANADA HILLS
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State | CA
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Zip | 91344
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Country | US
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Telephone | 818-564-5647
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 27600
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License Number State | CA
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