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General NPI Number Information
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NPI Number | 1457641896
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Entity Type | Individual
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Provider Name | TAMER IBRAHIM
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Gender | Male
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Dates
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Enumeration Date | 04/18/2011
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Last Update Date | 04/13/2025
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Provider Practice Location Address
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Address Line | 345 N SANDUSKY AVE
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City | BUCYRUS
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State | OH
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Zip | 44820-1806
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Country | US
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Telephone | 419-562-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 6732 BRODIE BLVD
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City | DUBLIN
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State | OH
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Zip | 43017-8046
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Country | US
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Telephone | 330-412-7442
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03227804
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License Number State | OH
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