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General NPI Number Information
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NPI Number | 1275705519
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Entity Type | Individual
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Provider Name | ASHRAF MAHMOUD ABDELMONEM MOHAMED M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 6161 S YALE AVE
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City | TULSA
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State | OK
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Zip | 74136-1902
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Country | US
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Telephone | 918-502-6720
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Fax | 918-502-6725
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Provider Business Mailing Address
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Address Line | 6600 S YALE AVE SUITE 1400
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City | TULSA
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State | OK
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Zip | 74136
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Country | US
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Telephone | 918-499-4855
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Fax | 918-488-6098
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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 | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | R8242
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 21491
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License Number State | OK
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