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General NPI Number Information
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NPI Number | 1679041024
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Entity Type | Individual
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Provider Name | KHALED TAHA DDS
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Gender | Male
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Dates
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Enumeration Date | 11/04/2018
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 7702 RESEDA ST
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City | SUGAR LAND
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State | TX
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Zip | 77479-3581
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Country | US
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Telephone | 202-725-2160
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Fax |
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Provider Business Mailing Address
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Address Line | 7702 RESEDA ST
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City | SUGAR LAND
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State | TX
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Zip | 77479-3581
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Country | US
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Telephone | 202-725-2160
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0401416409
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 35050
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License Number State | TX
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