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General NPI Number Information
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NPI Number | 1467344697
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Entity Type | Individual
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Provider Name | ELSAYED ELMASRY
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Gender | Male
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 621 BROADWAY ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-4788
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Country | US
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Telephone | 740-289-2371
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Fax |
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Provider Business Mailing Address
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Address Line | 1232 MOUNT HOPE AVE APT 11232
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City | ROCHESTER
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State | NY
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Zip | 14620-2907
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Country | US
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Telephone | 929-281-5440
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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 | 30.028138
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License Number State | OH
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