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General NPI Number Information
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NPI Number | 1821837022
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Entity Type | Organization
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Legal Business Name | ATLAS FAMILY DENTISTRY
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 5920 OLD HAMILTON RD.
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City | COLUMBUS
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State | OH
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Zip | 43230
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Country | US
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Telephone | 614-929-2400
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Fax | 614-929-2341
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Provider Business Mailing Address
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Address Line | 243 CHINKAPIN WAY
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City | WESTERVILLE
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State | OH
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Zip | 43081-4521
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Country | US
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Telephone | 614-778-6967
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. NASSAR MOHAMMAD
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Credential | DDS
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Telephone | 614-778-6967
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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 |
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License Number State |
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