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General NPI Number Information
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NPI Number | 1043195316
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Entity Type | Individual
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Provider Name | AMAMA NASIR DDS
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Gender | Male
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 4875 SUMMIT RIDGE DR
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City | RENO
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State | NV
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Zip | 89523-7936
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Country | US
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Telephone | 775-742-7626
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 SOLITUDE TRL UNIT 1068
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City | RENO
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State | NV
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Zip | 89523-9254
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Country | US
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Telephone | 319-795-6255
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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 | 8249
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License Number State | NV
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