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NPI 1396358271

NPI 1396358271 : ABID-ALHAMID DAHNOUN OD : RALEIGH, NC

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General NPI Number Information
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    NPI Number           |    1396358271
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    Entity Type          |    Individual 
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    Provider Name        |    ABID-ALHAMID DAHNOUN OD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/28/2020
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    Last Update Date     |    12/28/2021
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Provider Practice Location Address
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    Address Line         |    7800 FAYETTEVILLE RD. 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27603
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    Country              |    US
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    Telephone            |    984-810-5045
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    Fax                  |    984-810-5046
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Provider Business Mailing Address
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    Address Line         |    410 MELODY LN 
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    City                 |    CARY
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    State                |    NC
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    Zip                  |    27513-9101
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    Country              |    US
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    Telephone            |    919-455-4551
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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        |    152WC0802X
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    Taxonomy Name        |    Corneal and Contact Management Optometrist
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    License Number       |    2615
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    152WL0500X
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    Taxonomy Name        |    Low Vision Rehabilitation Optometrist
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    License Number       |    2615
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    152WS0006X
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    Taxonomy Name        |    Sports Vision Optometrist
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    License Number       |    2615
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    License Number State |    NC
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Taxonomy #4
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    2615
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    License Number State |    NC
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Taxonomy #5
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    2615
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    License Number State |    NC
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