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General NPI Number Information
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NPI Number | 1629213657
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Entity Type | Organization
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Legal Business Name | YAHYA JABER DENTAL CORP
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 12190 PERRIS BLVD STE D
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City | MORENO VALLEY
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State | CA
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Zip | 92557-7422
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Country | US
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Telephone | 951-486-0550
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Fax | 951-486-0566
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Provider Business Mailing Address
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Address Line | 12190 PERRIS BLVD STE D
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City | MORENO VALLEY
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State | CA
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Zip | 92557-7422
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Country | US
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Telephone | 951-486-0550
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Fax | 951-486-0566
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. YAHYA SULIEMAN JABER
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Credential | DDS
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Telephone | 951-486-0550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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