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General NPI Number Information
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NPI Number | 1588813810
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Entity Type | Individual
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Provider Name | NAZIA M AHMED D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 30 CENTRAL PARK S RM 5D
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City | NEW YORK
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State | NY
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Zip | 10019-1628
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Country | US
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Telephone | 212-256-1292
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Fax | 866-316-9965
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Provider Business Mailing Address
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Address Line | 30 CENTRAL PARK S RM 5D
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City | NEW YORK
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State | NY
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Zip | 10019-1628
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Country | US
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Telephone | 212-256-1292
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Fax | 866-316-9965
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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 | 22D102370600
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License Number State | NJ
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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 | 054151
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License Number State | NY
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