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General NPI Number Information
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NPI Number | 1356324115
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Entity Type | Individual
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Provider Name | ISMAIL SULEMAN AHMED MD
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Gender | Male
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Dates
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Enumeration Date | 11/25/2005
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Last Update Date | 01/05/2015
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Provider Practice Location Address
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Address Line | 1120 E BROAD ST
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City | ELYRIA
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State | OH
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Zip | 44035-6306
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Country | US
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Telephone | 440-366-2239
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Fax | 440-365-1366
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Provider Business Mailing Address
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Address Line | PO BOX 636643
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City | CINCINNATI
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State | OH
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Zip | 45263-6643
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Country | US
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Telephone | 440-989-3801
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Fax | 440-960-0264
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35062321A
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 35062321
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License Number State | OH
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