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General NPI Number Information
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NPI Number | 1851061543
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Entity Type | Individual
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Provider Name | DR. HAMMAD SUHAIL ALGHFELI
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Gender | Male
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 1 KNEELAND ST FL 12
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City | BOSTON
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State | MA
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Zip | 02111-1527
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Country | US
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Telephone | 857-829-9080
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Fax |
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Provider Business Mailing Address
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Address Line | 485 FOLEY ST UNIT 430
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City | SOMERVILLE
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State | MA
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Zip | 02145-1272
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Country | US
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Telephone | 857-829-9080
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DL100445
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License Number State | MA
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