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General NPI Number Information
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NPI Number | 1841548849
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Entity Type | Individual
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Provider Name | ADNAN ANWAR DDS
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Gender | Male
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Dates
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Enumeration Date | 08/22/2012
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Last Update Date | 10/25/2020
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Provider Practice Location Address
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Address Line | 3415 MARTIN LUTHER KING JR BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-3648
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Country | US
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Telephone | 916-737-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 10355 CANADEO CIR
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City | ELK GROVE
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State | CA
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Zip | 95757-3547
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 61799
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License Number State | CA
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