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General NPI Number Information
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NPI Number | 1265637425
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Entity Type | Individual
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Provider Name | SHEREEF YEHIA EL-IBIARY MD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 305 TANNER RD
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City | GREENVILLE
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State | SC
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Zip | 29607-5923
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Country | US
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Telephone | 864-627-1220
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Fax | 864-627-1221
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Provider Business Mailing Address
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Address Line | PO BOX 743070
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City | ATLANTA
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State | GA
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Zip | 30374-3070
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Country | US
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Telephone | 864-560-4304
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Fax | 864-560-4413
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 30010
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License Number State | SC
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