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General NPI Number Information
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NPI Number | 1457083297
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Entity Type | Individual
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Provider Name | FOUAD ALFREDO SAKKAL MORLOY RDH
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Gender | Male
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 232 N ORANGE BLOSSOM TRL
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City | ORLANDO
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State | FL
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Zip | 32805-1612
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Country | US
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Telephone | 407-428-5751
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Fax |
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Provider Business Mailing Address
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Address Line | 11521 SOLAYA WAY UNIT 208
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City | ORLANDO
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State | FL
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Zip | 32821-9452
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Country | US
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Telephone | 786-571-9688
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH29833
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License Number State | FL
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