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General NPI Number Information
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NPI Number | 1124810221
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Entity Type | Individual
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Provider Name | MOHAMED KAZBOUR DDS
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Gender | Male
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 875 WESTMORELAND AVE
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City | NAPOLEON
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State | OH
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Zip | 43545-1260
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Country | US
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Telephone | 877-478-0988
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Fax |
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Provider Business Mailing Address
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Address Line | 1141 GOLFVIEW DR
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City | DEARBORN
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State | MI
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Zip | 48128-1439
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Country | US
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Telephone | 313-610-5066
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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 | 30.028024
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License Number State | OH
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