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General NPI Number Information
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NPI Number | 1912703307
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Entity Type | Individual
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Provider Name | HIROSHI YAMAMOTO VALENZUELA DDS
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Gender | Male
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 7015 N CHESTNUT AVE STE 104
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City | FRESNO
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State | CA
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Zip | 93720-0349
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Country | US
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Telephone | 787-340-3015
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Fax | 559-475-0389
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Provider Business Mailing Address
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Address Line | 440 LYON ST
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City | REEDLEY
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State | CA
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Zip | 93654-8891
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Country | US
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Telephone | 787-340-3015
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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 | 111262
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License Number State | CA
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