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General NPI Number Information
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NPI Number | 1194151449
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Entity Type | Individual
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Provider Name | MOHAMED ELNAHASS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/18/2013
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Last Update Date | 06/06/2018
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Provider Practice Location Address
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Address Line | 200 EXECUTIVE CENTER PKWY STE 104
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City | FREDERICKSBURG
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State | VA
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Zip | 22401
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Country | US
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Telephone | 540-373-1641
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Fax | 540-373-7718
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Provider Business Mailing Address
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Address Line | 200 EXECUTIVE CENTER PKWY STE 104
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3177
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Country | US
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Telephone | 540-373-1641
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Fax | 540-373-7718
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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 | 22DI02545800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019029670
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License Number State | IL
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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 | 04040
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401415268
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN20358
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License Number State | FL
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