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General NPI Number Information
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NPI Number | 1265626329
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Entity Type | Individual
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Provider Name | DR. NASHWA NOEL GEBRI
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Gender | Female
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 4060 FAIRMOUNT AVE
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City | SAN DIEGO
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State | CA
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Zip | 92105-1608
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Country | US
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Telephone | 619-328-1335
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Fax | 619-328-1336
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Provider Business Mailing Address
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Address Line | 1247 JAMACHA RD
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City | EL CAJON
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State | CA
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Zip | 92019-3662
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Country | US
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Telephone | 800-417-4444
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Fax | 714-571-3560
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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 | 55696
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License Number State | CA
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