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General NPI Number Information
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NPI Number | 1437993813
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Entity Type | Individual
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Provider Name | SEREIN GHANAYEM DMD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 9727 BARKER CYPRESS RD STE 600
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City | CYPRESS
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State | TX
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Zip | 77433-4445
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Country | US
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Telephone | 281-861-0015
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Fax |
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Provider Business Mailing Address
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Address Line | 802 CYPRESSWOOD ML
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City | SPRING
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State | TX
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Zip | 77373-3064
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Country | US
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Telephone | 832-758-3094
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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 | 40671
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License Number State | TX
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