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General NPI Number Information
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NPI Number | 1760315279
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Entity Type | Individual
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Provider Name | EDDIE-AHED AHED MUADDI DMD
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Gender |
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 4890 S MISSION RD
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City | TUCSON
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State | AZ
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Zip | 85746-1100
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Country | US
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Telephone | 520-908-8797
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Fax |
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Provider Business Mailing Address
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Address Line | 5332 E BASELINE RD APT 3079
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City | MESA
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State | AZ
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Zip | 85206-4742
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D012824
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License Number State | AZ
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