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NPI 1629574066

NPI 1629574066 : ZOHAIB MUNAF DMD, MBS : INDIAN TRAIL, NC

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General NPI Number Information
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    NPI Number           |    1629574066
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    Entity Type          |    Individual 
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    Provider Name        |    ZOHAIB MUNAF DMD, MBS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/04/2018
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    Last Update Date     |    05/23/2025
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Provider Practice Location Address
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    Address Line         |    4514 OLD MONROE RD STE C 
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    City                 |    INDIAN TRAIL
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    State                |    NC
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    Zip                  |    28079-5308
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    Country              |    US
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    Telephone            |    813-597-5944
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4514 OLD MONROE RD STE C 
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    City                 |    INDIAN TRAIL
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    State                |    NC
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    Zip                  |    28079-5308
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    Country              |    US
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    Telephone            |    704-313-4000
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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        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    11058
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    License Number State |    SC
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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       |    9614
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    License Number State |    SC
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    11741
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    License Number State |    NC
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