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General NPI Number Information
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NPI Number | 1114757911
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Entity Type | Individual
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Provider Name | ABDULLAH MOHAMMED AL SAYYAB DDS
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Gender | Male
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 677 OLD MILL RD
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1326
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Country | US
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Telephone | 410-729-0390
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Fax |
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Provider Business Mailing Address
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Address Line | 4502 DUNTON TER UNIT N
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City | PERRY HALL
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State | MD
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Zip | 21128-9482
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Country | US
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Telephone | 443-559-1565
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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 | 2951000969
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 18104
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License Number State | MD
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