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General NPI Number Information
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NPI Number | 1295522753
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Entity Type | Organization
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Legal Business Name | AM SOHAL MAHAMUD DDS INC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 5678 N PALM AVE STE 106
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City | FRESNO
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State | CA
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Zip | 93704-1850
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Country | US
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Telephone | 929-350-7495
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Fax |
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Provider Business Mailing Address
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Address Line | 5678 N PALM AVE STE 106
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City | FRESNO
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State | CA
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Zip | 93704-1850
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Country | US
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Telephone | 929-350-7495
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. A M SOHAL MAHAMUD
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Credential | DDS
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Telephone | 929-350-7495
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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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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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