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General NPI Number Information
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NPI Number | 1689305856
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Entity Type | Individual
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Provider Name | AMIRA HIND HAIDAR DDS
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Gender | Female
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Dates
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Enumeration Date | 06/20/2022
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 9099 KATY FWY STE 140
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City | HOUSTON
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State | TX
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Zip | 77024-1632
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Country | US
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Telephone | 713-465-1860
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Fax |
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Provider Business Mailing Address
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Address Line | 13242 NORTHSPRING BEND LN
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City | CYPRESS
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State | TX
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Zip | 77429-5754
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Country | US
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Telephone | 713-962-9544
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 38647
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License Number State | TX
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