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General NPI Number Information
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NPI Number | 1841809969
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Entity Type | Individual
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Provider Name | ABDALLAH ABDELKARIM SALEH AL-OWEIDI DDS
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Gender | Male
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Dates
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Enumeration Date | 07/24/2020
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Last Update Date | 07/24/2020
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Provider Practice Location Address
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Address Line | 8904 W BROAD ST STE 202
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City | HENRICO
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State | VA
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Zip | 23294-5826
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Country | US
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Telephone | 804-716-5430
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 E MARSHALL ST APT 228
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City | RICHMOND
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State | VA
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Zip | 23223-7384
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Country | US
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Telephone | 773-954-9164
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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 | 0401417073
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License Number State | VA
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