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General NPI Number Information
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NPI Number | 1235414087
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Entity Type | Organization
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Legal Business Name | SATTAR A. SYED DMDPA
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Dates
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Enumeration Date | 10/12/2011
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 5507 KIRKWOOD HWY KIRKWOOD MILLTOWN PLAZA
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City | WILMINGTON
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State | DE
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Zip | 19808-5001
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Country | US
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Telephone | 302-994-9093
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Fax | 302-994-5699
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Provider Business Mailing Address
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Address Line | 5507 KIRKWOOD HWY KIRKWOOD MILLTOWN PLAZA
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City | WILMINGTON
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State | DE
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Zip | 19808-5001
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Country | US
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Telephone | 302-994-9093
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Fax | 302-994-5699
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Authorized Official
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Title or Position | CEO
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Name | DR. SATTAR A. SYED
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Credential | DMD
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Telephone | 302-994-3093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | G10001190
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License Number State | DE
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