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General NPI Number Information
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NPI Number | 1730641341
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Entity Type | Individual
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Provider Name | OMAR ALMAKKY DMD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 11319 SPRINGFIELD PIKE
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City | CINCINNATI
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State | OH
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Zip | 45246-4201
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Country | US
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Telephone | 513-873-8917
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Fax |
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Provider Business Mailing Address
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Address Line | 3772 WILD CHERRY WAY
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City | MASON
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State | OH
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Zip | 45040-7634
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Country | US
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Telephone | 937-823-0205
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Fax | 513-672-0359
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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 | 30.025836
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License Number State | OH
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