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General NPI Number Information
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NPI Number | 1518769710
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Entity Type | Organization
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Legal Business Name | MOHAMMED AL-TEMIMI MD INC
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 2512 SAMARITAN CT STE H
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City | SAN JOSE
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State | CA
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Zip | 95124-4002
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Country | US
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Telephone | 909-918-8160
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Fax |
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Provider Business Mailing Address
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Address Line | 408 OFFENBACH PL
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City | SUNNYVALE
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State | CA
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Zip | 94087-2718
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Country | US
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Telephone | 909-918-8160
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOHAMMED AL-TEMIMI
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Credential | MD
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Telephone | 408-752-4088
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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