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General NPI Number Information
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NPI Number | 1043796659
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Entity Type | Individual
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Provider Name | MOHAMED ELSAID ABDELFATTAH HASSAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 940 STANTON L. YOUNG BLVD BMSB 451
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5020
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Country | US
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Telephone | 405-271-2422
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Fax | 405-271-2568
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Provider Business Mailing Address
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Address Line | 940 STANTON L. YOUNG BLVD BMSB 451
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5020
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Country | US
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Telephone | 405-271-2422
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Fax | 405-271-2568
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 42293
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License Number State | OK
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