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General NPI Number Information
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NPI Number | 1487874145
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Entity Type | Individual
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Provider Name | AMMAR DULLI M.D
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Gender | Male
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 1400 E UNION ST
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City | GREENVILLE
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State | MS
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Zip | 38703-3246
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Country | US
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Telephone | 662-378-1174
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Fax |
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Provider Business Mailing Address
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Address Line | 1261 DEVONSHIRE PL
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City | GREENVILLE
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State | MS
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Zip | 38701-8339
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Country | US
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Telephone | 248-790-1486
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36116560
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 036116560
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 55577
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 22758
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License Number State | MS
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | E-11852
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License Number State | AR
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | P3525
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License Number State | TX
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