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General NPI Number Information
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NPI Number | 1073935771
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Entity Type | Organization
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Legal Business Name | DR NASSIF AND ASSOCIATES INC
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 09/21/2015
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Provider Practice Location Address
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Address Line | 4647 RIDGE RD
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City | BROOKLYN
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State | OH
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Zip | 44144-3318
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Country | US
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Telephone | 216-351-6600
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Fax | 216-351-9023
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Provider Business Mailing Address
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Address Line | 4647 RIDGE RD
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City | BROOKLYN
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State | OH
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Zip | 44144-3318
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Country | US
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Telephone | 216-351-6600
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Fax | 216-351-9023
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER NASSIF
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Credential | DDS
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Telephone | 216-351-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19716
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License Number State | OH
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