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General NPI Number Information
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NPI Number | 1093697161
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Entity Type | Individual
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Provider Name | GHIDA EL HOUT MD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 169 ASHLEY AVE RM 202MUH
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City | CHARLESTON
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State | SC
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Zip | 29425-8905
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Country | US
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Telephone | 843-792-7365
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Fax |
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Provider Business Mailing Address
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Address Line | 10 WESTEDGE ST UNIT 529
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City | CHARLESTON
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State | SC
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Zip | 29403-6919
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Country | US
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Telephone | 843-696-2473
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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 | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | LL95240
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License Number State | SC
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