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General NPI Number Information
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NPI Number | 1508216797
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Entity Type | Individual
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Provider Name | MUHAMMAD EHSAN FAQUIH MD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2016
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 810 SAINT VINCENTS DR
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City | BIRMINGHAM
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State | AL
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Zip | 35205
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Country | US
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Telephone | 404-539-9737
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 1ST AVE S APT 555
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1859
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Country | US
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Telephone | 404-539-9737
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 38459
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME165164
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License Number State | FL
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