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General NPI Number Information
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NPI Number | 1346620606
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Entity Type | Individual
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Provider Name | WA'EL JAMAL KAMEL TUQAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 2 ST. VINCENT CIRCLE
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5423
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Country | US
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Telephone | 501-552-4677
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Fax | 501-552-4555
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Provider Business Mailing Address
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Address Line | 2 ST. VINCENT CIRCLE 3RD FLOOR HOSPITALIST GROUP
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5423
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Country | US
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Telephone | 501-552-4677
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Fax | 501-552-4555
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | E-13671
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License Number State | AR
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