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General NPI Number Information
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NPI Number | 1760113096
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Entity Type | Individual
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Provider Name | NURA ABUJBARA
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Gender | Female
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 10601 BRANCHTON CHURCH RD
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City | THONOTOSASSA
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State | FL
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Zip | 33592-2211
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Country | US
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Telephone | 813-693-0227
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Fax |
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Provider Business Mailing Address
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Address Line | 73-4336 KUKULU PL
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City | KAILUA KONA
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State | HI
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Zip | 96740-9528
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 13010
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN27577
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License Number State | FL
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