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General NPI Number Information
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NPI Number | 1053366013
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Entity Type | Individual
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Provider Name | MOHAMMED MARWAN ABUZAHRA MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 2411 W BELVEDERE AVE SUITE 509
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City | BALTIMORE
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State | MD
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Zip | 21215-5228
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Country | US
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Telephone | 410-367-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 OLD COURT RD STE 103
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City | PIKESVILLE
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State | MD
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Zip | 21208-2828
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Country | US
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Telephone | 410-367-0100
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D67566
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License Number State | MD
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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 | M2523
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | M2523
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License Number State | TX
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