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General NPI Number Information
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NPI Number | 1922565084
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Entity Type | Individual
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Provider Name | REEM NAZARJASIM AL AMEEN DENTIST
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Gender | Female
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 4071 LEE RD
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City | CLEVELAND
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State | OH
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Zip | 44128-2100
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Country | US
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Telephone | 314-828-0912
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Fax |
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Provider Business Mailing Address
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Address Line | 2387 S GREEN RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-1479
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Country | US
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Telephone | 314-828-0912
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.026281
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License Number State | OH
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