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General NPI Number Information
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NPI Number | 1871769695
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Entity Type | Organization
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Legal Business Name | MANSURY HAWA LTD
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 1159 SW RED OAKS PL
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City | TOPEKA
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State | KS
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Zip | 66615-1235
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Country | US
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Telephone | 785-269-9655
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Fax |
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Provider Business Mailing Address
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Address Line | 1159 SW RED OAKS PL
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City | TOPEKA
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State | KS
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Zip | 66615-1235
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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 | PRESIDENT
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Name | DR. NUSRAT HAWA
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Credential | DMD
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Telephone | 785-269-9655
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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 | 60133
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License Number State | KS
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