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General NPI Number Information
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NPI Number | 1245470913
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Entity Type | Individual
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Provider Name | ADEEL ANWAR DDS
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Gender | Male
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 17008 13TH STREET
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City | HURON
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State | CA
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Zip | 93234-9997
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Country | US
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Telephone | 800-492-4227
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Fax | 559-646-3652
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Provider Business Mailing Address
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Address Line | 3875 W BEECHWOOD AVE
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City | FRESNO
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State | CA
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Zip | 93711-0795
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Country | US
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Telephone | 800-492-4227
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Fax | 559-646-3652
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D7720
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License Number State | AZ
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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 | 5952
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 58289
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License Number State | CA
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