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General NPI Number Information
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NPI Number | 1497728893
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Entity Type | Individual
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Provider Name | MOUNIR AWAD M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 905 SAHARA TRL
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City | POLAND
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State | OH
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Zip | 44514-3687
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Country | US
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Telephone | 330-729-3125
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Fax | 330-729-1861
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Provider Business Mailing Address
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Address Line | 8423 MARKET ST STE 205
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City | BOARDMAN
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State | OH
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Zip | 44512-6778
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Country | US
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Telephone | 330-729-3125
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Fax | 330-729-1861
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.046620
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License Number State | OH
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