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General NPI Number Information
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NPI Number | 1033158712
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Entity Type | Individual
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Provider Name | MOHAMMED IQBAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 2 W ROLLING CROSSROADS SUITE 112
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City | CATONSVILLE
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State | MD
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Zip | 21228-6208
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Country | US
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Telephone | 410-988-2912
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Fax |
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Provider Business Mailing Address
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Address Line | 11004 STEEPLECHASE CT
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-6127
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Country | US
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Telephone | 443-280-4055
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D44809
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License Number State | MD
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