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General NPI Number Information
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NPI Number | 1083540629
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Entity Type | Individual
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Provider Name | GHAZI HAMATI
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Gender | Male
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 29121 NEWPORT RD STE 101
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City | MENIFEE
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State | CA
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Zip | 92584-5121
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Country | US
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Telephone | 951-228-9296
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Fax |
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Provider Business Mailing Address
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Address Line | 25 VIA LUCCA APT H127
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City | IRVINE
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State | CA
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Zip | 92612-0663
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 113131
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License Number State | CA
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