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General NPI Number Information
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NPI Number | 1528502317
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Entity Type | Organization
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Legal Business Name | HAMADA MAHMOUD MD
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 5505 US ROUTE 60 EAST SUITE 175
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City | HUNTINGTON
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State | WV
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Zip | 25705-2058
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Country | US
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Telephone | 304-948-6754
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Fax | 304-948-6752
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Provider Business Mailing Address
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Address Line | 5505 US ROUTE 60 EAST SUITE 175
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City | HUNTINGTON
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State | WV
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Zip | 25705-2058
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Country | US
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Telephone | 304-948-6754
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Fax | 304-948-6752
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | SARAH VANCE
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Credential |
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Telephone | 304-731-5823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 20022
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License Number State | WV
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