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General NPI Number Information
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NPI Number | 1508066077
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Entity Type | Individual
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Provider Name | FAHAD M ALSAAD DDS
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Gender | Male
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | HITTEEN AREA HOUES #17 ST 403.
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City | KUWAIT
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State | KUWAIT
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Zip | 000
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Country | KW
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Telephone | 804-402-3344
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Fax |
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Provider Business Mailing Address
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Address Line | 3503 JACK NORTHROP AVE SUITE #FU362
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City | HAWTHORNE
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State | CA
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Zip | 90250-4433
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Country | US
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Telephone | 804-402-3344
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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 | 0401411894
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0442000113
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | VA
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