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General NPI Number Information
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NPI Number | 1285908509
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Entity Type | Individual
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Provider Name | ANAS EID
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Gender | Male
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 1325 EASTMORELAND AVE STE 260
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City | MEMPHIS
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State | TN
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Zip | 38104-7549
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Country | US
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Telephone | 901-272-6051
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Fax | 901-266-6443
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Provider Business Mailing Address
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Address Line | 1211 UNION AVE STE 330
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City | MEMPHIS
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State | TN
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Zip | 38104-6655
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Country | US
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Telephone |
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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 | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 64361
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | PENDING
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | 64361
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | T1125
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 64361
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License Number State | TN
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