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General NPI Number Information
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NPI Number | 1215892948
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Entity Type | Individual
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Provider Name | AHMED HAMDAN
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Gender | Male
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 119 ATHOL RD
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City | ORANGE
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State | MA
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Zip | 01364
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Country | US
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Telephone | 978-544-1576
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Fax | 978-248-9837
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Provider Business Mailing Address
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Address Line | 9303 QUALIS NEST. CORDOVA
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City | MEM
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State | TN
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Zip | 38018
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Country | US
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Telephone | 615-497-7381
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DL100911
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License Number State | MA
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