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General NPI Number Information
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NPI Number | 1245994953
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Entity Type | Organization
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Legal Business Name | MOHAMED & ASSOCIATES DDS PA I
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 1609 W ARLINGTON BLVD STE 107
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City | GREENVILLE
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State | NC
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Zip | 27834-5610
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Country | US
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Telephone | 252-321-8580
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Fax | 252-321-8582
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Provider Business Mailing Address
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Address Line | 1609 W ARLINGTON BLVD STE 107
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City | GREENVILLE
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State | NC
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Zip | 27834-5610
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Country | US
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Telephone | 252-321-8580
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Fax | 252-321-8582
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Authorized Official
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Title or Position | CONSULTANT
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Name | RACHEL WEATHERS
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Credential | MBA
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Telephone | 336-549-3330
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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 |
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License Number State |
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