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General NPI Number Information
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NPI Number | 1073404711
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Entity Type | Individual
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Provider Name | IBRAHIM DARHMAOUI
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Gender | Male
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 1030 US 70 HWY W
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City | GARNER
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State | NC
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Zip | 27529-2544
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Country | US
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Telephone | 919-325-0936
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Fax |
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Provider Business Mailing Address
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Address Line | 2104 MAGNOLIA TREE LN
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City | DURHAM
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State | NC
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Zip | 27703-6505
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Country | US
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Telephone | 919-909-7162
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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 | 14445
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License Number State | NC
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