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General NPI Number Information
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NPI Number | 1336849975
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Entity Type | Organization
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Legal Business Name | DR. MEHDI HASAN DDS LLC
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 714 CLOVERLY ST
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City | SILVER SPRING
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State | MD
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Zip | 20905-4161
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Country | US
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Telephone | 301-384-4961
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Fax | 301-384-4962
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Provider Business Mailing Address
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Address Line | 714 CLOVERLY ST
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City | SILVER SPRING
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State | MD
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Zip | 20905-4161
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Country | US
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Telephone | 301-384-4961
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Fax | 301-384-4962
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. MEHDI HASAN
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Credential | DDS
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Telephone | 410-905-2271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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