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General NPI Number Information
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NPI Number | 1922676535
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Entity Type | Organization
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Legal Business Name | REEVES ABI-NAHED DMD INC
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Dates
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Enumeration Date | 06/11/2021
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 1040 TIERRA DEL REY STE 207
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City | CHULA VISTA
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State | CA
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Zip | 91910-7865
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Country | US
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Telephone | 619-482-1992
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Fax |
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Provider Business Mailing Address
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Address Line | 5925 LINDA VISTA RD APT 1155
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City | SAN DIEGO
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State | CA
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Zip | 92110-7414
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Country | US
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Telephone | 858-242-8223
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GENEVIEVE ABI-NAHED
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Credential | DMD
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Telephone | 858-242-8223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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