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General NPI Number Information
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NPI Number | 1922280510
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Entity Type | Individual
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Provider Name | DR. MAZHAR ALHADID
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Gender | Male
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 8809 NORTHERN BLVD
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-1626
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Country | US
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Telephone | 718-429-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 567 FLUSHING AVE 504
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City | BROOKLYN
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State | NY
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Zip | 11206-5137
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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 |
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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 | 051935-1
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License Number State | NY
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