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General NPI Number Information
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NPI Number | 1932237385
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Entity Type | Individual
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Provider Name | OSSOB ABDILLAHI DMD
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 845 QUINCE ORCHARD BLVD STE H
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City | GAITHERSBURG
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State | MD
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Zip | 20878
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Country | US
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Telephone | 301-527-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 849 QUINCE ORCHARD BLVD STE E
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1604
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Country | US
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Telephone | 301-527-2727
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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 | 0401-413682
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License Number State | VA
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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 | 056518-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 039429
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 15289
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License Number State | MD
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