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General NPI Number Information
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NPI Number | 1386117893
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Entity Type | Individual
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Provider Name | FAHAD IKRAM WARRIACH DDS
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Gender | Male
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Dates
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Enumeration Date | 01/07/2019
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Last Update Date | 01/07/2019
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Provider Practice Location Address
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Address Line | 285 W EL MONTE WAY
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City | DINUBA
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State | CA
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Zip | 93618-1555
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Country | US
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Telephone | 155-930-2914
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Fax |
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Provider Business Mailing Address
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Address Line | 2610 E NEES AVE APT 257
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City | FRESNO
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State | CA
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Zip | 93720-6022
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Country | US
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Telephone | 718-795-3892
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 103424
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License Number State | CA
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