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General NPI Number Information
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NPI Number | 1336525112
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Entity Type | Organization
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Legal Business Name | REDA A. ABDEL-FATTAH & MERVAT M. ALATTAR
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 1050 NW 15TH ST SUITE 211A
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City | BOCA RATON
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State | FL
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Zip | 33486-1375
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Country | US
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Telephone | 561-391-5331
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Fax | 561-750-1502
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Provider Business Mailing Address
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Address Line | 1050 NW 15TH ST SUITE 211A
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City | BOCA RATON
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State | FL
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Zip | 33486-1375
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Country | US
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Telephone | 561-391-5331
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Fax | 561-750-1502
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Authorized Official
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Title or Position | OWNER
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Name | DR. REDA ABDEL-FATTAH
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Credential | DDS
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Telephone | 561-391-5331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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