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General NPI Number Information
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NPI Number | 1952705485
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Entity Type | Individual
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Provider Name | DR. HUSAM MOHAMED NAJAH
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Gender | Male
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 795 N LEXINGTON SPRINGMILL RD
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City | ONTARIO
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State | OH
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Zip | 44906-1114
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Country | US
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Telephone | 740-251-0183
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Fax |
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Provider Business Mailing Address
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Address Line | 1436 MOUNT VERNON AVE
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City | MARION
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State | OH
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Zip | 43302-5629
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Country | US
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Telephone | 740-251-0183
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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 | DE 60411179
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.024359
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License Number State | OH
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