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General NPI Number Information
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NPI Number | 1205097110
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Entity Type | Individual
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Provider Name | HICHAM EL MASRY MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 13400 E SHEA BLVD
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-5452
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Country | US
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Telephone | 480-301-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 6402 E SUPERSTITION SPRINGS BLVD STE 224
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City | MESA
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State | AZ
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Zip | 85206-4394
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Country | US
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Telephone | 480-865-6100
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Fax | 480-461-4261
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01068703A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 01068703A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 51687
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License Number State | AZ
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