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General NPI Number Information
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NPI Number | 1124336581
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Entity Type | Individual
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Provider Name | AHMAD AWADA MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 3031 W GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48202-3046
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Country | US
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Telephone | 313-916-2464
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Fax |
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Provider Business Mailing Address
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Address Line | 3031 W GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48202-3046
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Country | US
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Telephone | 313-916-2464
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD452810
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 4301511601
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 296225
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301511601
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License Number State | MI
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