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General NPI Number Information
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NPI Number | 1225141310
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Entity Type | Individual
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Provider Name | TARIQ ALSMADI DMD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 1107 W RANDOL MILL RD
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City | ARLINGTON
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State | TX
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Zip | 76012-2515
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Country | US
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Telephone | 817-277-6601
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Fax |
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Provider Business Mailing Address
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Address Line | 2916 SAIHAAN DR
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City | RICHARDSON
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State | TX
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Zip | 75082
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Country | US
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Telephone | 817-793-8515
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 21294
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License Number State | TX
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