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General NPI Number Information
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NPI Number | 1497352744
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Entity Type | Individual
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Provider Name | SHAHAD HADADI DMD
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Gender | Female
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 274 DANIEL WEBSTER HWY UNIT 6
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City | NASHUA
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State | NH
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Zip | 03060-5729
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Country | US
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Telephone | 603-880-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 2 HANCOCK ST APT 504
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City | QUINCY
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State | MA
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Zip | 02171-1769
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Country | US
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Telephone | 786-302-2473
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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 | DN1858853
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 05160
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License Number State | NH
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