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General NPI Number Information
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NPI Number | 1285193235
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Entity Type | Individual
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Provider Name | MAHMOUD YAZIED DWEIK MD
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Gender | Male
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 506 6TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-3609
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Country | US
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Telephone | 718-780-3148
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Fax |
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Provider Business Mailing Address
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Address Line | 109 N 12TH ST STE 704
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City | BROOKLYN
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State | NY
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Zip | 11249-1002
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Country | US
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Telephone | 561-201-6272
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 317738
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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