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General NPI Number Information
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NPI Number | 1205319548
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Entity Type | Individual
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Provider Name | HUSAM E KARZOUN D.M.D
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Gender | Male
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Dates
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Enumeration Date | 09/12/2018
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Last Update Date | 09/12/2018
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Provider Practice Location Address
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Address Line | 182 ROCKINGHAM RD
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City | LONDONDERRY
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State | NH
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Zip | 03053-2165
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Country | US
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Telephone | 603-437-8204
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WOODVIEW WAY APT 1409
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City | ANDOVER
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State | MA
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Zip | 01810-4583
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Country | US
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Telephone | 626-208-7051
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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 | 04440
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License Number State | NH
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