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General NPI Number Information
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NPI Number | 1326455213
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Entity Type | Individual
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Provider Name | MOHAMMED OSMAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2014
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | CLEVELAND CLINIC MAIN CAMPUS 9500 EUCLID AVE OH
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City | CLEVELAND
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State | OH
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Zip | 44195-1005
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Country | US
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Telephone | 216-445-9305
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Fax |
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Provider Business Mailing Address
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Address Line | 3351 WARRENSVILLE CENTER RD APT 105
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-3770
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Country | US
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Telephone | 201-932-9060
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TRN# 20730
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.132318
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License Number State | OH
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