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General NPI Number Information
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NPI Number | 1952929333
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Entity Type | Organization
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Legal Business Name | NOURELDIN SHOREIBAH DDS INC
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Dates
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Enumeration Date | 07/11/2020
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Last Update Date | 07/11/2020
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Provider Practice Location Address
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Address Line | 7677 CENTER AVE STE 210
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-9103
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Country | US
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Telephone | 747-227-4100
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Fax | 714-551-9318
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Provider Business Mailing Address
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Address Line | 7677 CENTER AVE STE 210
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-9103
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Country | US
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Telephone | 747-227-4100
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Fax | 714-551-9318
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Authorized Official
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Title or Position | OWNER/ENDODONTIST
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Name | DR. NOURELDIN HUSSEIN SHOREIBAH
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Credential | DDS
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Telephone | 415-412-8963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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