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General NPI Number Information
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NPI Number | 1093454639
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Entity Type | Individual
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Provider Name | SHERIF AHMED MOHAMED NOUR ATTIA DMD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 490 LINCOLN ST
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City | WORCESTER
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State | MA
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Zip | 01605-1936
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Country | US
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Telephone | 508-869-4225
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Fax |
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Provider Business Mailing Address
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Address Line | 242 PROSPECT ST APT 2B
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City | MANCHESTER
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State | NH
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Zip | 03104-3862
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Country | US
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Telephone | 407-907-7410
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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 | 4633
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1859477
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License Number State | MA
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