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NPI 1124716931

NPI 1124716931 : DALIA HANY EL-DESOKY : GONZALES, LA

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General NPI Number Information
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    NPI Number           |    1124716931
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    Entity Type          |    Individual 
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    Provider Name        |    DALIA HANY EL-DESOKY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/28/2023
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    Last Update Date     |    06/21/2023
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Provider Practice Location Address
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    Address Line         |    40470 GERMANY RD 
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    City                 |    GONZALES
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    State                |    LA
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    Zip                  |    70737-6735
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    Country              |    US
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    Telephone            |    225-622-2022
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3626 S LOYOLA DR APT 251 
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    City                 |    KENNER
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    State                |    LA
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    Zip                  |    70065-5495
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    Country              |    US
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    Telephone            |    504-645-9129
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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       |    7424
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    License Number State |    LA
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