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NPI 1124537410

NPI 1124537410 : HAMDY MEDICAL CENTER, PC : MARTINSVILLE, VA

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General NPI Number Information
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    NPI Number           |    1124537410
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAMDY MEDICAL CENTER, PC 
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Dates
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    Enumeration Date     |    09/29/2017
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    Last Update Date     |    02/19/2019
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Provider Practice Location Address
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    Address Line         |    110 W COMMONWEALTH BLVD 
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    City                 |    MARTINSVILLE
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    State                |    VA
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    Zip                  |    24112
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    Country              |    US
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    Telephone            |    276-634-5003
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    Fax                  |    276-634-5017
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Provider Business Mailing Address
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    Address Line         |    110 COMMONWEALTH BLVD W 
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    City                 |    MARTINSVILLE
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    State                |    VA
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    Zip                  |    24112-1913
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    Country              |    US
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    Telephone            |    276-226-1210
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    Fax                  |    276-634-5017
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Authorized Official
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    Title or Position    |    OWNER/PROVIDER
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    Name                 |    DR. KAREEM A HAMDY 
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    Credential           |    MD
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    Telephone            |    276-634-5003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    010241736
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    
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    License Number State |    
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