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General NPI Number Information
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NPI Number | 1457264574
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Entity Type | Individual
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Provider Name | IBRAHIM ZEITOUN
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Gender | Male
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 6325 E RUSSELL RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89122-7072
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Country | US
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Telephone | 313-797-1077
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Fax |
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Provider Business Mailing Address
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Address Line | 6452 JONATHON ST
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City | DEARBORN
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State | MI
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Zip | 48126-2230
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Country | US
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Telephone | 313-797-1077
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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 | 8459
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License Number State | NV
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