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General NPI Number Information
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NPI Number | 1255344636
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Entity Type | Individual
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Provider Name | GHASSAN AL-HAMMAMI M.D
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 2513 W TRENTON RD
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City | EDINBURG
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State | TX
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Zip | 78539-5070
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Country | US
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Telephone | 956-668-9729
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Fax | 956-668-9742
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Provider Business Mailing Address
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Address Line | 2513 W TRENTON RD
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City | EDINBURG
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State | TX
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Zip | 78539-5070
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Country | US
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Telephone | 956-668-9729
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Fax | 956-668-9742
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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 | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | L0744
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L0744
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License Number State | TX
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