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General NPI Number Information
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NPI Number | 1225200371
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Entity Type | Individual
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Provider Name | GENEVIEVE ABI-NAHED DMD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 05/16/2019
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Provider Practice Location Address
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Address Line | 5210 BALBOA AVE STE A2
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City | SAN DIEGO
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State | CA
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Zip | 92117
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Country | US
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Telephone | 858-598-5842
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Fax | 858-598-5842
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Provider Business Mailing Address
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Address Line | 5210 BALBOA AVE STE A2
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City | SAN DIEGO
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State | CA
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Zip | 92117
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Country | US
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Telephone | 858-598-5842
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Fax | 858-598-5842
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 60032
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 60032
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License Number State | CA
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