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NPI 1407932726

NPI 1407932726 : ASHRAF GHONEIM DDS : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1407932726
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    Entity Type          |    Individual 
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    Provider Name        |    ASHRAF GHONEIM DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/29/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    3030 N 67TH PL 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85251-6082
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    Country              |    US
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    Telephone            |    480-949-1950
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10061 E CALLE DE CIELO CIR 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-5657
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    Country              |    US
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    Telephone            |    
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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       |    D5949
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    1223P0700X
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    Taxonomy Name        |    Prosthodontics
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    License Number       |    D5949
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    License Number State |    AZ
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