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General NPI Number Information
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NPI Number | 1699834432
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Entity Type | Individual
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Provider Name | SALIH MURAT MAYALIDAG D.D.S
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Gender | Male
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 09/12/2018
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Provider Practice Location Address
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Address Line | 6073 N FRESNO ST STE 103
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City | FRESNO
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State | CA
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Zip | 93710-8614
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Country | US
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Telephone | 559-432-9988
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Fax |
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Provider Business Mailing Address
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Address Line | 6073 N FRESNO ST STE 103
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City | FRESNO
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State | CA
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Zip | 93710-8614
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Country | US
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Telephone | 559-432-9988
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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 | D12068
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License Number State | MN
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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 | 54593
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License Number State | CA
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