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1932453198 NPI number — MARWA B ABULHASAN DMD, MS, MMM

NPI Number: 1932453198
Health Care Provider/Practitioner: MARWA B ABULHASAN DMD, MS, MMM

Information about “1932453198” NPI (MARWA B ABULHASAN DMD, MS, MMM) exists in 1932453198 in HTML format HTML  |  1932453198 in plain Text format TXT  |  1932453198 in PDF (Portable Document Format) PDF  |  1932453198 in an XML format XML  formats.

NPI Number : 1932453198 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932453198",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ABULHASAN",
    "FirstName": "MARWA",
    "MiddleName": "B",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD, MS, MMM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7380 S EASTERN AVE # 124-259",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89123-1550",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-608-2381",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "925 W 34TH ST # 108",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90089-3075",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-608-2381",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/08/2012",
    "LastUpdateDate": "12/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223P0300X",
          "TaxonomyName": "Periodontics",
          "LicenseNumber": "56236",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1223P0300X",
          "TaxonomyName": "Periodontics",
          "LicenseNumber": "D-4893-PE",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0300X",
          "TaxonomyName": "Periodontics",
          "LicenseNumber": "S4-111C",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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