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General NPI Number Information
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NPI Number | 1245213313
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Entity Type | Individual
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Provider Name | MOHAMMED ASHRAF M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 01/19/2015
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Provider Practice Location Address
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Address Line | 4 HICKORY RIDGE RD SUITE 600
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City | HILLSBORO
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State | MO
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Zip | 63050-5100
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Country | US
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Telephone | 636-481-6040
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Fax | 636-797-5633
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Provider Business Mailing Address
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Address Line | 227 E MAIN ST
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City | FESTUS
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State | MO
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Zip | 63028-1952
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Country | US
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Telephone | 636-931-2700
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Fax | 636-931-5304
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036106437
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2008034880
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License Number State | MO
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