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General NPI Number Information
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NPI Number | 1275589996
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Entity Type | Individual
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Provider Name | RIAD AL-SAYED AHMAD M.D
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 1610 BROADRICK DR
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City | DALTON
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State | GA
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Zip | 30720-3012
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Country | US
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Telephone | 707-279-1994
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Fax | 706-279-9229
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Provider Business Mailing Address
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Address Line | 1908 KEYSTONE WAY
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City | DALTON
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State | GA
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Zip | 30720-4812
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Country | US
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Telephone | 706-279-1994
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Fax | 706-279-9229
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 54203
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 054203
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License Number State | GA
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