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General NPI Number Information
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NPI Number | 1326985649
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Entity Type | Organization
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Legal Business Name | MAHAF CORPORATION
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 3360 W 95TH ST
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City | EVERGREEN PARK
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State | IL
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Zip | 60805-2236
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Country | US
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Telephone | 708-423-3242
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Fax | 708-423-2856
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Provider Business Mailing Address
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Address Line | 3360 W 95TH ST
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City | EVERGREEN PARK
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State | IL
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Zip | 60805-2236
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Country | US
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Telephone | 708-423-3242
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Fax | 708-423-2856
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MAHMOUD MAHAFZAH
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Credential | DO
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Telephone | 708-423-3242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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