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General NPI Number Information
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NPI Number | 1104096726
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Entity Type | Individual
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Provider Name | HESHAM MOHAMED ELGOUHARI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 4616 S US HIGHWAY 75 STE 203
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City | DENISON
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State | TX
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Zip | 75020-4582
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Country | US
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Telephone | 903-462-6310
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Fax | 903-462-6311
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Provider Business Mailing Address
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Address Line | 4616 S US HIGHWAY 75 STE 203
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City | DENISON
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State | TX
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Zip | 75020-4582
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Country | US
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Telephone | 903-462-6310
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Fax | 903-462-6311
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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 | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | 57.011317
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | 7199
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License Number State | SD
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 57.011317
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207RT0003X
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Taxonomy Name | Transplant Hepatology Physician
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License Number | 57.011317
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License Number State | OH
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