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General NPI Number Information
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NPI Number | 1467093948
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Entity Type | Individual
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Provider Name | MOHAMED B ALODAT
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Gender | Male
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 598 OFFICE PKWY STE A
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City | WESTERVILLE
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State | OH
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Zip | 43082-8077
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Country | US
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Telephone | 614-890-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 40 HUTCHINSON AVE APT 525
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City | COLUMBUS
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State | OH
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Zip | 43235-4767
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Country | US
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Telephone | 216-421-4395
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.027898
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License Number State | OH
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