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General NPI Number Information
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NPI Number | 1174208797
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Entity Type | Individual
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Provider Name | SARAH GADALLAH
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Gender | Female
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 3121 N PRESIDENT GEORGE BUSH HWY
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City | GARLAND
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State | TX
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Zip | 75040-2752
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Country | US
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Telephone | 469-368-9889
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Fax |
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Provider Business Mailing Address
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Address Line | 1513 LIBERTY WAY TRL # A
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City | WYLIE
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State | TX
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Zip | 75098-0016
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Country | US
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Telephone | 702-300-0256
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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 | 41144
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License Number State | TX
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