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General NPI Number Information
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NPI Number | 1316911662
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Entity Type | Individual
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Provider Name | MAHMOUD AHMAD DDS
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 2721 W FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92545-4616
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Country | US
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Telephone | 951-925-2226
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Fax |
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Provider Business Mailing Address
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Address Line | 2721 W FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92545-4616
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Country | US
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Telephone | 951-925-2226
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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 | 11891
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License Number State | MN
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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 | 58187
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License Number State | CA
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