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General NPI Number Information
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NPI Number | 1942474077
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Entity Type | Individual
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Provider Name | WAHEED V MOHAMED DDS MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 411 BILLINGSLEY RD. SUITE 105
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City | CHARLOTTE
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State | NC
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Zip | 28211
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Country | US
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Telephone | 704-347-3900
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Fax | 704-347-0133
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Provider Business Mailing Address
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Address Line | 411 BILLINGSLEY RD. SUITE 105
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City | CHARLOTTE
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State | NC
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Zip | 28211
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Country | US
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Telephone | 704-347-3900
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Fax | 704-347-0133
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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 | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 10784
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 5773
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 201301211
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License Number State | NC
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