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General NPI Number Information
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NPI Number | 1437303641
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Entity Type | Organization
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Legal Business Name | MASOOD AHMAD
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Dates
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Enumeration Date | 11/14/2008
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Last Update Date | 11/14/2008
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Provider Practice Location Address
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Address Line | 6964 TYLERSVILLE RD
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City | WEST CHESTER
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State | OH
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Zip | 45069-1511
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Country | US
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Telephone | 513-777-7097
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Fax | 513-777-0841
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Provider Business Mailing Address
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Address Line | 6964 TYLERSVILLE RD
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City | WEST CHESTER
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State | OH
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Zip | 45069-1511
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Country | US
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Telephone | 513-777-7097
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Fax | 513-777-0841
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Authorized Official
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Title or Position | OWNER
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Name | MASOOD AHMAD
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Credential | M.D.
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Telephone | 513-777-7097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 35057646A
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License Number State | OH
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