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General NPI Number Information
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NPI Number | 1851138622
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Entity Type | Organization
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Legal Business Name | ADEL M. TAWADROS DDS MPH LLC
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Dates
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Enumeration Date | 07/10/2024
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 420 RAY NORRISH DR
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City | SPRINGDALE
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State | OH
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Zip | 45246-1520
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Country | US
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Telephone | 513-671-1666
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Fax |
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Provider Business Mailing Address
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Address Line | 1098 RIVER FOREST DR
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City | MAINEVILLE
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State | OH
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Zip | 45039-7717
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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 | OWNER
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Name | DR. ADEL M TAWADROS
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Credential | DDS MPH
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Telephone | 513-568-4118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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