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General NPI Number Information
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NPI Number | 1831750678
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Entity Type | Individual
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Provider Name | RAAD ALDARAGI DDS
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Gender | Male
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 10325 LAKE JUNE RD STE 700
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City | DALLAS
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State | TX
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Zip | 75217-5320
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Country | US
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Telephone | 469-533-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 EMPIRE DR APT 6321
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City | RICHARDSON
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State | TX
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Zip | 75080-0081
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Country | US
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Telephone | 317-400-5096
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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 | 35191
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License Number State | TX
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