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General NPI Number Information
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NPI Number | 1821400409
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Entity Type | Individual
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Provider Name | USMAN ALAM D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 07/02/2015
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Provider Practice Location Address
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Address Line | 1220 OLD YORK RD
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City | WARMINSTER
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State | PA
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Zip | 18974-2013
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Country | US
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Telephone | 215-681-1656
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Fax |
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Provider Business Mailing Address
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Address Line | 5812 N 4TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19120-1856
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Country | US
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Telephone | 215-681-1656
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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 | DS039952
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License Number State | PA
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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 | DS039952
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License Number State | PA
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