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General NPI Number Information
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NPI Number | 1295141851
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Entity Type | Individual
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Provider Name | MOHAMED AHMAD OSMAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2014
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 3530 FANNIN ST
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City | BEAUMONT
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State | TX
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Zip | 77701-3805
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Country | US
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Telephone | 409-842-8222
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Fax | 409-842-8244
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Provider Business Mailing Address
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Address Line | 3530 FANNIN ST
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City | BEAUMONT
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State | TX
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Zip | 77701-3805
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Country | US
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Telephone | 409-842-8222
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Fax | 409-842-8244
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | S0039
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | S0039
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License Number State | TX
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