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General NPI Number Information
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NPI Number | 1972729655
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Entity Type | Individual
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Provider Name | DENIELLE C. MEDYNSKI DMD
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1399 YGNACIO VALLEY RD STE 2
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2830
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Country | US
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Telephone | 707-225-7338
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Fax |
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Provider Business Mailing Address
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Address Line | 299 WINDSOR HWY
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City | NEW WINDSOR
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State | NY
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Zip | 12553-6909
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Country | US
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Telephone | 845-565-3450
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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 | 050983
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License Number State | NY
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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 | 62093
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License Number State | CA
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