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General NPI Number Information
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NPI Number | 1740980473
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Entity Type | Individual
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Provider Name | MOSTAFA MOHAMED SOLIMAN GAMALELDIN
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Gender | Male
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Dates
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Enumeration Date | 03/09/2023
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 429 E MANNING AVE
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City | PARLIER
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State | CA
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Zip | 93648-2668
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Country | US
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Telephone | 559-646-6618
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Fax | 559-646-6780
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Provider Business Mailing Address
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Address Line | 429 E MANNING AVE
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City | PARLIER
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State | CA
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Zip | 93648-2668
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Country | US
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Telephone | 559-646-6618
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Fax | 559-646-6780
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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 | 40119
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 111027
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License Number State | CA
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