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General NPI Number Information
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NPI Number | 1467938902
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Entity Type | Individual
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Provider Name | OSAMA SAWAF DUWAJI DMD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 90 ORNE ST
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City | NORTH ATTLEBORO
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State | MA
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Zip | 02760-6328
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Country | US
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Telephone | 508-461-2310
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Fax |
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Provider Business Mailing Address
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Address Line | 7 BRISTOL LN
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City | EAST WALPOLE
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State | MA
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Zip | 02032-1361
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Country | US
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Telephone | 508-517-6181
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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 | TBD
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License Number State | MA
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