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General NPI Number Information
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NPI Number | 1326341371
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Entity Type | Organization
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Legal Business Name | SADEK DDS INC.,
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 247 E PALMDALE BLVD STE B
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City | PALMDALE
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State | CA
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Zip | 93550-4567
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Country | US
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Telephone | 661-266-0300
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Fax | 661-266-0900
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Provider Business Mailing Address
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Address Line | 247 E PALMDALE BLVD STE B
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City | PALMDALE
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State | CA
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Zip | 93550-4567
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Country | US
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Telephone | 661-266-0300
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Fax | 661-266-0900
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YASSER EMAD SADEK
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Credential | DDS
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Telephone | 206-606-9598
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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 | 43293
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License Number State | CA
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