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General NPI Number Information
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NPI Number | 1053940361
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Entity Type | Individual
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Provider Name | MOHAMAD ELZAIM MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 888 S GREENVILLE AVE STE 304
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City | RICHARDSON
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State | TX
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Zip | 75081-5044
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Country | US
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Telephone | 469-684-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 E ARKANSAS LN
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City | ARLINGTON
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State | TX
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Zip | 76010-6415
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Country | US
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Telephone | 817-385-9799
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | T8525
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License Number State | TX
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