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General NPI Number Information
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NPI Number | 1760833073
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Entity Type | Individual
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Provider Name | SULAIMAN ALSHAAR DMD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 3411 SW 36TH TER UNIT 1
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City | OCALA
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State | FL
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Zip | 34474-7404
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Country | US
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Telephone | 352-390-3699
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 SW 46TH CT APT 2111
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City | OCALA
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State | FL
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Zip | 34474-6287
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Country | US
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Telephone | 303-653-5631
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN25783
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License Number State | FL
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