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General NPI Number Information
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NPI Number | 1093565822
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Entity Type | Individual
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Provider Name | MULHAM ALLUJAMI
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Gender | Male
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 102 MAIN ST
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City | GREENFIELD
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State | MA
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Zip | 01301-3275
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Country | US
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Telephone | 413-325-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 5 ABBOTT LN
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City | CONCORD
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State | MA
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Zip | 01742-3528
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Country | US
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Telephone | 209-292-0000
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DL16014
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License Number State | MA
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