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General NPI Number Information
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NPI Number | 1477938801
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Entity Type | Individual
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Provider Name | SHEREEN NAGUIB DDS
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Gender | Female
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 12575 NEWPORT AVE SUITE B
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City | TUSTIN
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State | CA
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Zip | 92780-2451
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Country | US
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Telephone | 714-731-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 24981 FAIRTIME CIR
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-6010
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Country | US
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Telephone | 949-448-0156
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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 | 46058
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License Number State | CA
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