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General NPI Number Information
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NPI Number | 1164839361
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Entity Type | Individual
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Provider Name | MAHMOUD ADEEB AH HAMDAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2014
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1020 HITT ST
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City | COLUMBIA
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State | MO
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Zip | 65212-0001
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Country | US
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Telephone | 573-882-6921
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Fax | 573-882-1154
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Provider Business Mailing Address
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Address Line | PO BOX 843966
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City | KANSAS CITY
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State | MO
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Zip | 64184-3966
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Country | US
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Telephone | 573-884-3300
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Fax | 573-884-0943
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 2022018367
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | MD482314
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License Number State | PA
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