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General NPI Number Information
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NPI Number | 1033501044
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Entity Type | Individual
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Provider Name | MUSTAFA CHOKR D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 601 JOHN ST
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City | KALAMAZOO
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State | MI
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Zip | 49007
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Country | US
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Telephone | 269-341-8481
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Fax |
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Provider Business Mailing Address
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Address Line | 601 JOHN ST # 74
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City | KALAMAZOO
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State | MI
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Zip | 49007-5341
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Country | US
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Telephone | 269-341-8481
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TPOS239
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4604
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO.2752
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 90584
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | S8970
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License Number State | TX
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101021647
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License Number State | MI
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