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General NPI Number Information
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NPI Number | 1275590283
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Entity Type | Individual
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Provider Name | MOHAMMAD WALID ASFOUR MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 11801 SOUTH FWY
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City | BURLESON
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State | TX
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Zip | 76028-7021
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Country | US
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Telephone | 817-293-9110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 82
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City | SHANNON
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State | AL
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Zip | 35142-0082
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Country | US
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Telephone | 888-212-4243
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Fax | 972-472-2091
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | H4863
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License Number State | TX
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