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General NPI Number Information
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NPI Number | 1336000868
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Entity Type | Individual
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Provider Name | ASHRAF MONIR KAMEL SHALABY
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Gender | Male
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 810 JASMINE ST
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City | OMAK
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State | WA
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Zip | 98841-9578
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Country | US
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Telephone | 509-826-7646
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Fax |
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Provider Business Mailing Address
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Address Line | 123 WEBER CLOSE NW
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City | EDMONTON
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State | ALBERTA
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Zip | T6M0L4
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Country | CA
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 15615
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License Number State | ND
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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 | 15615
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License Number State | ND
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