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General NPI Number Information
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NPI Number | 1508025826
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Entity Type | Organization
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Legal Business Name | KARIM ELNOKRASHY DENTAL CORPORATION
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 1503 E MARCH LN SUITE #B
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City | STOCKTON
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State | CA
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Zip | 95210-5600
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Country | US
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Telephone | 209-957-8828
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Fax | 209-957-8811
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Provider Business Mailing Address
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Address Line | 1503 E MARCH LN SUITE #B
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City | STOCKTON
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State | CA
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Zip | 95210-5600
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Country | US
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Telephone | 209-957-8828
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Fax | 209-957-8811
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KARIM AHMAD SAMY ELNOKRASHY
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Credential | DDS
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Telephone | 209-957-8828
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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 | 50906
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License Number State | CA
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