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General NPI Number Information
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NPI Number | 1861821118
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Entity Type | Individual
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Provider Name | REEM ALJAMAAN BDS, DDS, CAGS, MSD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 545 E JOHNSON ST
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City | FOND DU LAC
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State | WI
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Zip | 54935-2856
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Country | US
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Telephone | 920-924-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 E ROYALL PL UNIT 413
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City | MILWAUKEE
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State | WI
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Zip | 53202-1870
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Country | US
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Telephone | 312-404-9278
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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 | DL12097
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DL12740
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 1002192
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License Number State | WI
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