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General NPI Number Information
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NPI Number | 1124260385
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Entity Type | Individual
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Provider Name | AHMAD ALHAMMOURI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 207 SPARKS AVE STE 101
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3739
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Country | US
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Telephone | 812-284-5411
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Fax | 812-284-0144
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Provider Business Mailing Address
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Address Line | PO BOX 776351
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City | CHICAGO
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State | IL
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Zip | 60677-6351
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Country | US
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Telephone | 502-588-9490
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Fax | 502-272-5116
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 53779
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01093067A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 48984
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 53779
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 01093067A
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License Number State | IN
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