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General NPI Number Information
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NPI Number | 1336221951
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Entity Type | Individual
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Provider Name | MOHAMED A. EL-AWADY M.D
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Gender | Male
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | 618 NORTH GREEN ST. RIVER VALLEY BEHAVIORAL HEALTH
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City | HENDERSON
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State | KY
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Zip | 42420
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Country | US
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Telephone | 270-826-8314
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Fax |
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Provider Business Mailing Address
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Address Line | 618 NORTH GREEN ST. RIVER VALLEY BEHAVIORAL HEALTH
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City | HENDERSON
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State | KY
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Zip | 42420
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Country | US
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Telephone | 270-826-8314
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 37498
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01063665A
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License Number State | IN
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