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General NPI Number Information
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NPI Number | 1164924114
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Entity Type | Individual
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Provider Name | BAHA'EDDIN AHMAD IBRAHIM MUHSEN
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Gender | Male
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 10201 CARNEGIE AVE, CA BUILDING
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City | CLEVELAND
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State | OH
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Zip | 44195
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Country | US
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Telephone | 866-223-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 12000 EDGEWATER DR APT 504
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City | LAKEWOOD
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State | OH
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Zip | 44107-6701
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Country | US
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Telephone |
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 9727
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License Number State | ZZ
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