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General NPI Number Information
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NPI Number | 1558132803
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Entity Type | Individual
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Provider Name | ASAAD MAHMOUD
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Gender | Male
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 8 N MAIN ST FL 5
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City | ATTLEBORO
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State | MA
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Zip | 02703-2282
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Country | US
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Telephone | 508-409-9000
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Fax | 508-492-2964
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Provider Business Mailing Address
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Address Line | 8 N MAIN ST FL 5
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City | ATTLEBORO
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State | MA
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Zip | 02703-2282
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Country | US
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Telephone | 508-409-9000
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN10009485
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License Number State | MA
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