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General NPI Number Information
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NPI Number | 1326415365
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Entity Type | Individual
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Provider Name | MAHMOUD M ISMAIL MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2015
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 2400 UNSER BLVD SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-3392
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Country | US
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Telephone | 505-253-7878
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Fax | 505-272-6692
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Provider Business Mailing Address
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Address Line | 2400 UNSER BLVD SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-3392
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Country | US
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Telephone | 505-253-7878
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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 | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | MD2019-1040
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD2019-1040
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License Number State | NM
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