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General NPI Number Information
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NPI Number | 1235514084
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Entity Type | Individual
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Provider Name | MOHAMED SIRAGELDIN OSMAN O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 6675 S CUSTER RD STE 600
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City | MCKINNEY
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State | TX
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Zip | 75070-1840
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Country | US
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Telephone | 469-317-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 N PEARL ST APT 1406
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City | DALLAS
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State | TX
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Zip | 75201-2958
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2726
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8671
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License Number State | TX
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