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General NPI Number Information
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NPI Number | 1023170107
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Entity Type | Individual
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Provider Name | KAMAL ALFAKIANI DDS
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Gender | Male
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 3170 N ARIZONA AVE STE1
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City | CHANDLER
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State | AZ
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Zip | 85225-7164
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Country | US
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Telephone | 480-558-4741
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Fax |
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Provider Business Mailing Address
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Address Line | 236 W CALLE MONTE VIS
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City | TEMPE
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State | AZ
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Zip | 85284-2200
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Country | US
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Telephone | 716-316-6630
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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 | 6779
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DE00010374
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License Number State | WA
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