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General NPI Number Information
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NPI Number | 1023248911
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Entity Type | Individual
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Provider Name | DR. AYMAN MAHDY
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Gender | Male
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Dates
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Enumeration Date | 07/26/2009
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 218 STRATHY LN
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City | WINTER PARK
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State | FL
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Zip | 32792-4133
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Country | US
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Telephone | 407-628-3073
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Fax | 407-628-3078
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Provider Business Mailing Address
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Address Line | PO BOX 636256 CENTRAL CREDENTIALING
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City | CINCINNATI
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State | OH
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Zip | 45263-6256
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Country | US
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Telephone | 513-585-5506
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Fax | 513-585-5511
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME162510
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | HSE10865
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | E06271
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 35.096476
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License Number State | OH
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