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General NPI Number Information
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NPI Number | 1831906353
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Entity Type | Individual
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Provider Name | HANEEN ABUSAAD DDS
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Gender | Female
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 1428 WOODED ACRES DR STE 126
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City | WACO
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State | TX
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Zip | 76710-4466
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Country | US
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Telephone | 254-978-5934
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 BISON MEADOW LN
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City | HEATH
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State | TX
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Zip | 75032-5953
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Country | US
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Telephone | 214-315-2218
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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 | 40987
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License Number State | TX
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