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General NPI Number Information
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NPI Number | 1831683499
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Entity Type | Individual
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Provider Name | ABEER MOUSA ABDULHAFIZ DDS
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Gender | Female
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 2040 COLISEUM DR STE A27
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City | HAMPTON
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State | VA
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Zip | 23666-3200
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Country | US
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Telephone | 757-262-0020
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Fax |
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Provider Business Mailing Address
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Address Line | 13521 HOLLYRIDGE AVE
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City | BATON ROUGE
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State | LA
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Zip | 70817-3422
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Country | US
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Telephone | 225-678-2775
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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 | 0401417489
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License Number State | VA
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