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General NPI Number Information
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NPI Number | 1558174441
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Entity Type | Individual
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Provider Name | WALID AAWAR DDS
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Gender | Male
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 401 E DR MARTIN L KING JR BLVD
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City | ROSEBORO
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State | NC
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Zip | 28382-9063
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Country | US
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Telephone | 910-525-5115
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Fax | 910-525-3513
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Provider Business Mailing Address
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Address Line | 106 BOLDLEAF CT
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City | CARY
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State | NC
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Zip | 27513-3812
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Country | US
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Telephone | 919-221-0945
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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 | 14085
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License Number State | NC
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