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General NPI Number Information
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NPI Number | 1164452058
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Entity Type | Individual
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Provider Name | MOHAMMAD TAHA M.D
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | KU MEDICAL CENTER DIV OG GENERAL & 3901 RAINBOW BLVD, MS 1020
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City | KANSAS CITY
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State | KS
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Zip | 66160-0001
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Country | US
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Telephone | 913-588-6005
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Fax | 913-588-3877
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Provider Business Mailing Address
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Address Line | KANSAS UNIVERSITY PHYSICIANS INC 3901 RAINBOW BLVD ,4070 DELP, MS 4017
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City | KANSAS CITY
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State | KS
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Zip | 66160-0001
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Country | US
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Telephone | 913-588-2500
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 04-32653
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License Number State | KS
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