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General NPI Number Information
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NPI Number | 1609657055
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Entity Type | Organization
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Legal Business Name | MARCO ABDULLAH DDS & ASSOCIATES INC
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Dates
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Enumeration Date | 10/11/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 1016 E COOLEY DR STE F
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City | COLTON
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State | CA
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Zip | 92324-3961
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Country | US
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Telephone | 909-283-1328
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Fax | 909-639-1143
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Provider Business Mailing Address
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Address Line | 1016 E COOLEY DR STE F
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City | COLTON
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State | CA
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Zip | 92324-3961
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Country | US
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Telephone | 909-283-1328
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Fax | 909-639-1143
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Authorized Official
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Title or Position | CEO
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Name | DR. MARCO ABDULLAH
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Credential | DDS
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Telephone | 510-600-2415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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