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General NPI Number Information
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NPI Number | 1912638123
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Entity Type | Individual
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Provider Name | RYAN PARKER FAHMY DDS
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Gender | Male
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Dates
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Enumeration Date | 06/19/2022
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Last Update Date | 06/19/2022
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Provider Practice Location Address
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Address Line | 1309 N AVENUE C
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City | ELGIN
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State | TX
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Zip | 78621-1528
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Country | US
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Telephone | 512-281-4260
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Fax |
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Provider Business Mailing Address
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Address Line | 8181 FANNIN ST APT 1425
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City | HOUSTON
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State | TX
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Zip | 77054-2922
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Country | US
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Telephone | 281-543-0355
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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 | 38606
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License Number State | TX
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