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General NPI Number Information
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NPI Number | 1063709913
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Entity Type | Individual
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Provider Name | ALAAEDIN ALHOMOSH MD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 400 ROSALIND REDFERN GROVER PKWY
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City | MIDLAND
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State | TX
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Zip | 79701-5846
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Country | US
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Telephone | 432-221-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 4214 ANDREWS HWY STE 240
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City | MIDLAND
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State | TX
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Zip | 79703-4817
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Country | US
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Telephone | 432-221-4243
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Fax | 432-221-5981
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | Q1072
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | 101613
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | Q1072
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | 80950
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | Q1072
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | Q1072
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License Number State | TX
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