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General NPI Number Information
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NPI Number | 1346828522
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Entity Type | Individual
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Provider Name | MOHAMMAD TAMER HANAFY MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 4500 FRANKFORD AVE # 10
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City | PHILADELPHIA
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State | PA
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Zip | 19124-3602
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Country | US
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Telephone | 888-296-4742
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Fax |
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Provider Business Mailing Address
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Address Line | 2621 S JEFFERSON AVE APT 324
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City | SPRINGFIELD
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State | MO
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Zip | 65807-3778
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Country | US
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Telephone | 765-760-4038
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD491508
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2025009753
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License Number State | MO
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