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General NPI Number Information
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NPI Number | 1194111229
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Entity Type | Individual
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Provider Name | AHMED AMER BELAID ELKHAWELDI DDS
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Gender | Male
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6323 TUSSING RD
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-3984
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Country | US
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Telephone | 614-863-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 W 14TH ST
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City | CLEVELAND
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State | OH
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Zip | 44113-5201
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Country | US
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Telephone | 412-478-9927
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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 | 300254245
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License Number State | OH
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