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General NPI Number Information
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NPI Number | 1184741407
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Entity Type | Organization
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Legal Business Name | ASHRAF MOHAMED, MD, PLC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 09/28/2007
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Provider Practice Location Address
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Address Line | 6502 GREENFIELD RD
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City | DEARBORN
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State | MI
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Zip | 48126-1701
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Country | US
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Telephone | 313-582-7266
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Fax | 313-582-7026
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Provider Business Mailing Address
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Address Line | 6502 GREENFIELD RD
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City | DEARBORN
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State | MI
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Zip | 48126-1701
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Country | US
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Telephone | 313-582-7266
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Fax | 313-582-7026
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHRAF E MOHAMED
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Credential | M.D.
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Telephone | 313-582-7266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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