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General NPI Number Information
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NPI Number | 1295185189
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Entity Type | Individual
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Provider Name | MOHAMED IBRAHIM AHMED
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Gender | Male
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Dates
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Enumeration Date | 06/21/2016
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 6401 N FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-1427
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Country | US
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Telephone | 561-299-3667
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Fax |
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Provider Business Mailing Address
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Address Line | 501 SE 2ND ST APT 1330
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-3695
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Country | US
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Telephone | 850-381-1852
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OT017188
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | OS21267
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS21267
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License Number State | FL
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