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General NPI Number Information
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NPI Number | 1811852783
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Entity Type | Organization
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Legal Business Name | SHEMS PERIODONTICS LLC
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 2511 W HORIZON RIDGE PKWY STE 201
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City | HENDERSON
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State | NV
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Zip | 89052-5878
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Country | US
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Telephone | 725-216-1616
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Fax | 725-216-1626
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Provider Business Mailing Address
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Address Line | 7380 S EASTERN AVE # 124-259
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City | LAS VEGAS
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State | NV
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Zip | 89123-1550
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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 | OWNER
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Name | DR. MARWA ABULHASAN
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Credential | DMD
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Telephone | 412-608-2381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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