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General NPI Number Information
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NPI Number | 1497655104
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Entity Type | Individual
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Provider Name | EBRAHIM ALMURISI BDS
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Gender | Male
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Dates
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Enumeration Date | 11/07/2026
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Last Update Date | 11/07/2026
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Provider Practice Location Address
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Address Line | 227 PINE ST
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City | MANCHESTER
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State | NH
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Zip | 03103-5655
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Country | US
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Telephone | 510-697-0724
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 PULLMAN AVE APT 124
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City | RICHMOND
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State | CA
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Zip | 94804-3147
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Country | US
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Telephone | 510-697-0724
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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 | 015.0134452
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License Number State | VT
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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 | 05411
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License Number State | NH
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