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General NPI Number Information
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NPI Number | 1285016022
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Entity Type | Individual
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Provider Name | HAITHAM WEHBE DMD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2015
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 19804 MORRIS AVE, STE 130
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City | MANVEL
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State | TX
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Zip | 77578
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Country | US
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Telephone | 216-410-2805
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Fax |
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Provider Business Mailing Address
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Address Line | 19804 MORRIS AVE STE 130
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City | MANVEL
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State | TX
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Zip | 77578-2867
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Country | US
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Telephone | 216-410-2805
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Fax | 440-884-4393
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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 | 30024516
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License Number State | OH
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