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General NPI Number Information
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NPI Number | 1366974073
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Entity Type | Individual
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Provider Name | XAVIER MOHAMMED MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 4755 OGLETOWN STANTON ROAD SUITE 1E20
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City | NEWARK
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State | DE
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Zip | 19718-2200
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Country | US
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Telephone | 302-733-5625
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Fax | 302-733-5665
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Provider Business Mailing Address
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Address Line | 6259 TROTTER RD
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1209
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Country | US
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Telephone | 443-280-4118
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0027361
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | C1-0027361
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License Number State | DE
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