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General NPI Number Information
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NPI Number | 1457442865
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Entity Type | Individual
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Provider Name | IRFAN AHMAD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 10743 NARCOOSEE RD SUITE A-26
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City | ORLANDO
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State | FL
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Zip | 32832
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Country | US
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Telephone | 407-380-7734
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Fax | 407-380-7741
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Provider Business Mailing Address
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Address Line | 10405 KRISTEN PARK DR
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City | ORLANDO
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State | FL
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Zip | 32832-5825
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Country | US
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Telephone | 321-274-6175
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN16515
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License Number State | FL
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