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General NPI Number Information
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NPI Number | 1619346517
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Entity Type | Organization
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Legal Business Name | AHMED DDS PC
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Dates
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Enumeration Date | 09/21/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 9700 BUSINESS PARK DR SUITE 400A
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City | SACRAMENTO
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State | CA
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Zip | 95827-1712
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Country | US
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Telephone | 916-670-0139
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Fax |
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Provider Business Mailing Address
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Address Line | 184 ORANGE BLOSSOM CIR
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City | FOLSOM
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State | CA
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Zip | 95630-8102
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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 | PRESIDENT
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Name | SAMEENA AHMED
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Credential | DDS
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Telephone | 916-368-7889
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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 | 49441
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License Number State | CA
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