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General NPI Number Information
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NPI Number | 1164928248
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Entity Type | Individual
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Provider Name | MOHAMED A HASSAN M.B.B.S.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 2720 N TENAYA WAY
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City | LAS VEGAS
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State | NV
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Zip | 89128-0424
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Country | US
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Telephone | 702-877-8600
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Fax | 702-242-7944
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone | 702-579-3203
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 24181
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME151285
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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