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General NPI Number Information
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NPI Number | 1124097118
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Entity Type | Individual
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Provider Name | ZIYAD H MUGHARBIL MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 11 HOSPITAL WAY STE A
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-3144
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Country | US
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Telephone | 706-745-3862
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Fax | 706-439-6460
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Provider Business Mailing Address
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Address Line | 35 HOSPITAL RD
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-3139
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Country | US
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Telephone | 67-745-3862
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Fax | 706-439-6460
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 31600
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 031640
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License Number State | GA
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