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General NPI Number Information
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NPI Number | 1659006542
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Entity Type | Organization
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Legal Business Name | DR GHOBASHY DDS PC
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Dates
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Enumeration Date | 07/24/2022
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Last Update Date | 07/24/2022
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Provider Practice Location Address
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Address Line | 6409 FOLSOM BLVD STE 2
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City | SACRAMENTO
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State | CA
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Zip | 95819-4638
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Country | US
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Telephone | 916-802-2079
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Fax |
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Provider Business Mailing Address
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Address Line | 8408 GRINNELL WAY
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City | SACRAMENTO
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State | CA
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Zip | 95826-2936
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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 | AYMAN GHOBASHY
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Credential |
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Telephone | 916-802-2079
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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 |
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License Number State |
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