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General NPI Number Information
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NPI Number | 1750104139
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Entity Type | Individual
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Provider Name | YASH JAYESH SHARMA DMD, MS
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Gender | Male
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 71949 HIGHWAY 111 STE 200
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-4826
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Country | US
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Telephone | 760-340-2026
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Fax |
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Provider Business Mailing Address
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Address Line | 74359 NICHOLS DRIVE
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City | PALM DESERT
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State | CA
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Zip | 92211
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Country | US
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Telephone | 269-806-3736
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DDS109945
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License Number State | CA
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