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General NPI Number Information
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NPI Number | 1760839757
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Entity Type | Organization
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Legal Business Name | NAZIR AHMAD DDS IV, PA
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 06/16/2020
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Provider Practice Location Address
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Address Line | 3150 ROGERS RD STE 111
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City | WAKE FOREST
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State | NC
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Zip | 27587-4196
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Country | US
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Telephone | 984-833-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 3150 ROGERS RD STE 111
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City | WAKE FOREST
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State | NC
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Zip | 27587-4196
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Country | US
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Telephone | 984-833-5200
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. NAZIR AHMAD
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Credential | DDS
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Telephone | 919-283-0100
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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 | 8564
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License Number State | NC
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