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General NPI Number Information
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NPI Number | 1134939267
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Entity Type | Individual
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Provider Name | FATIMA AFRIDI DDS
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Gender | Female
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 821 S LAYTON BLVD
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City | MILWAUKEE
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State | WI
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Zip | 53215-1225
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Country | US
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Telephone | 414-645-5574
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Fax |
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Provider Business Mailing Address
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Address Line | 10910 CROSSWICKS RD
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7329
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Country | US
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Telephone | 757-778-1417
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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 | 6001723-15
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License Number State | WI
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