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General NPI Number Information
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NPI Number | 1417188491
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Entity Type | Individual
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Provider Name | ANAS ALZUHAILI M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2009
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 1802 E 10TH ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-6016
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Country | US
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Telephone | 812-288-2488
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Fax | 770-573-9513
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Provider Business Mailing Address
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Address Line | 2100 MARKET ST STE 101
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City | CHARLESTOWN
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State | IN
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Zip | 47111-9535
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Country | US
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Telephone | 812-503-5100
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Fax | 770-573-9513
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01070876A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD446903
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD446903
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.129017
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01070876A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.129017
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License Number State | OH
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