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General NPI Number Information
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NPI Number | 1487883815
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Entity Type | Individual
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Provider Name | SARA KHALED AKEEL D.D.S
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Gender | Female
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Dates
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Enumeration Date | 07/07/2009
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Last Update Date | 07/08/2009
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Provider Practice Location Address
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Address Line | 705 SAINT ANDREWS DRIVE
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City | AUGUSTA
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State | GA
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Zip | 30909
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Country | US
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Telephone | 706-267-7534
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Fax |
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Provider Business Mailing Address
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Address Line | 705 SAINT ANDREWS DR
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City | AUGUSTA
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State | GA
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Zip | 30909-7807
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Country | US
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Telephone | 706-267-7534
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 4032
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License Number State | ZZ
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