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General NPI Number Information
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NPI Number | 1285615245
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Entity Type | Individual
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Provider Name | HESHAM H EL GAMAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 06/17/2011
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Provider Practice Location Address
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Address Line | 960 W WOOSTER ST SUITE 107
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City | BOWLING GREEN
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State | OH
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Zip | 43402-2644
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Country | US
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Telephone | 419-373-7692
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 72369
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City | CLEVELAND
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State | OH
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Zip | 44192-0002
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Country | US
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Telephone | 419-353-7069
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Fax | 419-353-7076
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35.084310
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 35.084310
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 35.084310
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License Number State | OH
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