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General NPI Number Information
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NPI Number | 1245081983
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Entity Type | Individual
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Provider Name | NADA MAHMOUD AHMED ABDU DMD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2024
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 10306 SEPULVEDA BLVD
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City | MISSION HILLS
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State | CA
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Zip | 91345-2422
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Country | US
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Telephone | 818-722-1576
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Fax |
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Provider Business Mailing Address
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Address Line | 21021 ERWIN ST APT 164
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-3832
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Country | US
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Telephone | 214-991-7101
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS112374
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License Number State | CA
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