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General NPI Number Information
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NPI Number | 1093820920
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Entity Type | Individual
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Provider Name | AMR MOHAMED ZAKARIA ZIDAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 8221 MID CITIES BLVD STE 100
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-4712
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Country | US
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Telephone | 214-666-8077
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 BACKBAY DR
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City | IRVING
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State | TX
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Zip | 75063-5408
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Country | US
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Telephone | 972-444-0103
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Fax | 972-444-0391
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | K9707
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | K9707
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License Number State | TX
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