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General NPI Number Information
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NPI Number | 1265751937
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Entity Type | Individual
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Provider Name | USMAN SHAUKAT ALI DMD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 06/25/2023
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Provider Practice Location Address
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Address Line | AKRON CHILDREN'S DENTAL CLINIC 177 WEST EXCHANGE ST
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City | AKRON
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State | OH
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Zip | 44302
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Country | US
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Telephone | 330-543-0070
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Fax |
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Provider Business Mailing Address
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Address Line | AKRON CHILDREN'S DENTAL CLINIC 177 WEST EXCHANGE ST
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City | AKRON
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State | OH
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Zip | 44302
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Country | US
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Telephone |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 056395
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | LL844
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 30.027063
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License Number State | OH
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