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General NPI Number Information
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NPI Number | 1841720075
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Entity Type | Individual
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Provider Name | OMAR ALKOREK DMD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 27417 US HIGHWAY 27
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City | LEESBURG
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State | FL
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Zip | 34748-9084
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Country | US
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Telephone | 352-702-4760
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Fax |
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Provider Business Mailing Address
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Address Line | 10526 HOLLY CREST DR
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City | ORLANDO
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State | FL
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Zip | 32836-5864
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Country | US
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Telephone | 386-214-5714
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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 | 107007
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN22682
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License Number State | FL
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