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General NPI Number Information
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NPI Number | 1073166914
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Entity Type | Organization
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Legal Business Name | ADNAN MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 07/19/2019
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 3131 BELL ST STE 207
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City | AMARILLO
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State | TX
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Zip | 79106-5030
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Country | US
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Telephone | 806-355-6593
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Fax | 806-352-8774
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Provider Business Mailing Address
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Address Line | PO BOX 8337
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City | AMARILLO
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State | TX
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Zip | 79114-8337
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Country | US
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Telephone | 806-355-6593
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Fax | 806-352-8774
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MOHAMMED BAHAA ALDEEN
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Credential | MD
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Telephone | 806-355-6593
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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 |
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License Number State |
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