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General NPI Number Information
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NPI Number | 1710385539
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Entity Type | Individual
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Provider Name | JOHN ABOUKHATER DMD
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Gender | Male
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 215 SUMMER STREET SUITE 11
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City | HAVERHILL
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State | MA
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Zip | 01830
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Country | US
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Telephone | 978-372-9122
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Fax | 978-372-6131
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Provider Business Mailing Address
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Address Line | 210 BELMONT STREET APT 5
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City | EAST WATERTOWN
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State | MA
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Zip | 02472-3557
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Country | US
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Telephone | 978-372-9122
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Fax | 978-372-6131
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN18670
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License Number State | MA
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