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General NPI Number Information
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NPI Number | 1447170261
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Entity Type | Individual
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Provider Name | SAMER AHMED MICHMALI DDS
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Gender | Male
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 1680 B ST STE A
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City | HAYWARD
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State | CA
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Zip | 94541-3043
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Country | US
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Telephone | 510-581-8366
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Fax |
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Provider Business Mailing Address
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Address Line | 1840 WOODVIEW CT
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City | CERES
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State | CA
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Zip | 95307-3580
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Country | US
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Telephone | 209-996-9105
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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 | 113579
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License Number State | CA
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