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General NPI Number Information
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NPI Number | 1023690187
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Entity Type | Individual
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Provider Name | TAMARA MAHMOUD DO
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Gender | Female
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 920 N HAMILTON RD STE 200
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City | GAHANNA
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State | OH
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Zip | 43230-1757
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Country | US
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Telephone | 614-293-3069
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Fax | 614-293-9684
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-293-3069
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Fax | 614-293-9684
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 34.017759
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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