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General NPI Number Information
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NPI Number | 1902005408
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Entity Type | Individual
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Provider Name | HILAL KHAN AHMAD DDS
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Gender | Male
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 11012 CANYON RD EAST SUITE 40
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City | PUYLLUP
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State | WA
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Zip | 98373
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Country | US
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Telephone | 253-531-1900
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Fax | 253-859-0799
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Provider Business Mailing Address
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Address Line | 10024 SE 240 ST SUITE 101
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City | KENT
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State | WA
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Zip | 98031
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Country | US
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Telephone | 253-859-6000
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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 | 5778
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License Number State | WA
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