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General NPI Number Information
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NPI Number | 1093249963
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Entity Type | Individual
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Provider Name | MOHAMED ASHKAR
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Gender | Male
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 1510 FLORIDA AVE
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City | MODESTO
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State | CA
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Zip | 95350-4437
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Country | US
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Telephone | 209-722-4842
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-2200
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Fax | 216-445-8241
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A192290
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME159041
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License Number State | FL
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