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General NPI Number Information
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NPI Number | 1326960626
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Entity Type | Individual
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Provider Name | MOHAMED AHMED ELDEREI M.B.,B.CH., MSC.
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Gender |
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 820 S WOOD STREET, (MC 675) SUITE 100
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-996-2933
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Fax |
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Provider Business Mailing Address
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Address Line | STREET 51,ZONE 66 BLDG 18 ZIGZAG TOWERB, FLAT NO. 3010A
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City | DOHA/WESTBAY
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State | LAGOON PLAZA
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Zip | 00000
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Country | QA
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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