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General NPI Number Information
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NPI Number | 1023637824
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Entity Type | Individual
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Provider Name | OMAR FAWZI MUJAHED DO
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Gender | Male
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Dates
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Enumeration Date | 04/11/2020
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1900 23RD ST STE 2000
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-1404
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Country | US
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Telephone | 330-971-7359
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Fax | 330-255-5084
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Provider Business Mailing Address
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Address Line | 1853 3RD ST
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-3903
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Country | US
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Telephone |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 34.016122
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License Number State | OH
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