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General NPI Number Information
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NPI Number | 1275930596
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Entity Type | Individual
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Provider Name | ASIF SHARIF DDS
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Gender | Male
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Dates
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Enumeration Date | 12/02/2014
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 116 N RAILROAD AVE STE 2
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City | ASHLAND
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State | VA
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Zip | 23005-1524
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Country | US
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Telephone | 804-798-5061
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Fax |
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Provider Business Mailing Address
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Address Line | 1090 NORTHCHASE PKWY SE STE 290
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City | MARIETTA
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State | GA
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Zip | 30067-6402
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401414632
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License Number State | VA
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