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General NPI Number Information
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NPI Number | 1568886315
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Entity Type | Individual
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Provider Name | ZAIN ALQAWS KAMAL ISSA DDS
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Gender | Female
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Dates
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Enumeration Date | 02/14/2014
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 166 COLUMBIA RD
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City | BOSTON
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State | MA
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Zip | 02121-3411
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Country | US
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Telephone | 617-445-9880
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Fax | 617-445-5746
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Provider Business Mailing Address
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Address Line | 445 WILLARD ST UNIT 205
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City | QUINCY
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State | MA
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Zip | 02169-6467
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Country | US
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Telephone | 803-389-8926
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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 | 1856455
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License Number State | MA
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