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General NPI Number Information
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NPI Number | 1134955305
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Entity Type | Individual
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Provider Name | EHAB ABDLATEF AHMED MOHAMMED
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Gender | Male
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Dates
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Enumeration Date | 09/12/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 1200 S PARKER RD STE 210
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City | DENVER
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State | CO
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Zip | 80231-7564
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Country | US
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Telephone | 720-451-9748
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 S PARKER RD STE 210
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City | DENVER
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State | CO
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Zip | 80231-7564
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Country | US
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Telephone | 720-451-9748
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 04D01U
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License Number State | CO
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