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General NPI Number Information
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NPI Number | 1104029479
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Entity Type | Individual
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Provider Name | SYED MINHAJ MAHMOOD MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | KING ABDUL AZIZ MEDICAL CITY, ICU DEPARTMENT 9515,
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City | JEDDAH
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State | WESTERN REGION
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Zip | 21423
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Country | SA
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Telephone | 011966122266666
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Fax | 01196612226666621984
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Provider Business Mailing Address
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Address Line | 201 HOSPITAL RD
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City | CANTON
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State | GA
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Zip | 30114-2408
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Country | US
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Telephone | 770-720-5100
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Fax | 404-851-6325
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 28220
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License Number State | AL
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Taxonomy #2
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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 | 59999
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MT187747
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 28220
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 59999
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License Number State | GA
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