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General NPI Number Information
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NPI Number | 1174120158
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Entity Type | Individual
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Provider Name | AMERA AL-FALEH DDS
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Gender | Female
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Dates
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Enumeration Date | 10/03/2020
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 4022 SUNRISE BLVD STE 160
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City | RANCHO CORDOVA
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State | CA
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Zip | 95742-6908
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Country | US
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Telephone | 916-246-1108
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Fax |
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Provider Business Mailing Address
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Address Line | 5162 KIPP WAY
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City | CARMICHAEL
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State | CA
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Zip | 95608-0923
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Country | US
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Telephone |
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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 | 105621
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License Number State | CA
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