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General NPI Number Information
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NPI Number | 1588116057
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Entity Type | Individual
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Provider Name | OBADAH ATTAR DDS, DSCD
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Gender | Male
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 912 WINCHESTER DR
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City | SOUTHLAKE
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State | TX
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Zip | 76092-1416
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Country | US
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Telephone | 913-499-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 1631 LIBERTY ST
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City | BRAINTREE
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State | MA
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Zip | 02184-8274
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Country | US
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Telephone |
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 32493
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License Number State | TX
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