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General NPI Number Information
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NPI Number | 1386886851
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Entity Type | Individual
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Provider Name | BILAL MOUSA ATAYA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2009
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 30680 BAINBRIDGE RD
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City | CLEVELAND
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State | OH
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Zip | 44139-2282
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Country | US
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Telephone | 440-542-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3016 RIVIERA LN APT SUITE
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City | WESTLAKE
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State | OH
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Zip | 44145-6843
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Country | US
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Telephone | 216-659-3035
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 35.099050
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35.099050
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 94293
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License Number State | SC
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