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General NPI Number Information
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NPI Number | 1972420750
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Entity Type | Individual
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Provider Name | MOHAMMED ELSAID BDS,MSC, PHD
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Gender | Male
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 10524 SPOTSYLVANIA AVE STE 104
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-8611
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Country | US
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Telephone | 585-287-1543
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Fax |
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Provider Business Mailing Address
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Address Line | 9307 SUN BLUFF WAY APT 303
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-7902
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Country | US
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Telephone | 585-287-1543
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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 | 0401420150
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License Number State | VA
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