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General NPI Number Information
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NPI Number | 1023482429
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Entity Type | Individual
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Provider Name | MOHAMED KAR-KURI
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Gender | Male
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 11/25/2015
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Provider Practice Location Address
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Address Line | 2525 WYCLIFF AVE SUITE 107
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City | DALLAS
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State | TX
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Zip | 75219-2551
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Country | US
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Telephone | 214-219-3719
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Fax |
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Provider Business Mailing Address
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Address Line | 1955 MARKET CENTER BLVD APT 1127
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City | DALLAS
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State | TX
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Zip | 75207-3308
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Country | US
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Telephone | 929-375-9729
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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 | 31410
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License Number State | TX
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