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General NPI Number Information
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NPI Number | 1669910659
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Entity Type | Organization
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Legal Business Name | HP DENTAL
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 3955 HARRISON RD STE 400
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City | LOGANVILLE
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State | GA
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Zip | 30052-8502
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Country | US
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Telephone | 770-466-0580
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Fax | 770-466-1536
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Provider Business Mailing Address
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Address Line | 3955 HARRISON RD STE 400
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City | LOGANVILLE
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State | GA
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Zip | 30052-8502
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Country | US
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Telephone | 770-466-0580
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Fax | 770-466-1536
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. HASAN SYED
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Credential | D.M.D.
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Telephone | 404-431-7139
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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 | DN014452
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License Number State | GA
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