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General NPI Number Information
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NPI Number | 1710809363
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Entity Type | Individual
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Provider Name | SAMAH S Y RADY BDS, MS
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Gender | Female
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 1710 HIGHWAY 287 N STE 100
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City | MANSFIELD
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State | TX
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Zip | 76063-7726
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Country | US
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Telephone | 817-313-3760
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Fax |
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Provider Business Mailing Address
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Address Line | 7769 ROCKYRIDGE DR
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City | FRISCO
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State | TX
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Zip | 75035-8909
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Country | US
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Telephone | 949-796-2173
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 42718
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License Number State | TX
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