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General NPI Number Information
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NPI Number | 1629948625
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Entity Type | Organization
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Legal Business Name | SMILEVERSE DENTAL
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 4139 WHITE SAGE ARC SUITE A
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City | LAS CRUCES
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State | NM
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Zip | 88012
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Country | US
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Telephone | 432-559-0919
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Fax |
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Provider Business Mailing Address
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Address Line | 3873 ROYAL VIEW ST
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City | LAS CRUCES
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State | NM
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Zip | 88012-8066
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Country | US
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Telephone | 432-559-0919
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Fax |
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Authorized Official
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Title or Position | DENTIST/ OWNER
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Name | DR. FARQAD KAMAL ABUODUEH
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Credential | DDS
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Telephone | 432-559-0919
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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 |
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License Number State |
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