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General NPI Number Information
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NPI Number | 1114472859
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Entity Type | Individual
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Provider Name | NAMRA AMIN D.M.D
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Gender | Female
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 1855 US HIGHWAY 27 N
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City | SEBRING
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State | FL
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Zip | 33870-1961
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Country | US
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Telephone | 863-342-4133
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Fax |
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Provider Business Mailing Address
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Address Line | 1855 US HWY 27 S
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City | SEBRING
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State | FL
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Zip | 33870
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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 | DN 22111
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License Number State | FL
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