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General NPI Number Information
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NPI Number | 1720148661
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Entity Type | Individual
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Provider Name | SEAN YAR DDS
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 1112 N MAGNOLIA AVE
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City | ANAHEIM
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State | CA
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Zip | 92801-2603
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Country | US
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Telephone | 714-828-1211
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Fax |
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Provider Business Mailing Address
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Address Line | 751 S WEIR CANYON RD # 157-412
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City | ANAHEIM
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State | CA
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Zip | 92808-1962
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 54397
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License Number State | CA
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