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General NPI Number Information
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NPI Number | 1164295051
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Entity Type | Individual
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Provider Name | AMR AHMED NABIL MOHAMED
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Gender | Male
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 12806 WINTER SPRINGS DR
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City | PEARLAND
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State | TX
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Zip | 77584-3399
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Country | US
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Telephone | 347-261-0283
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Fax |
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Provider Business Mailing Address
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Address Line | 12806 WINTER SPRINGS DR
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City | PEARLAND
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State | TX
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Zip | 77584-3399
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Country | US
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Telephone | 347-261-0283
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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 | 40145
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 40145
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 40145
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License Number State | TX
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