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General NPI Number Information
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NPI Number | 1558481333
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Entity Type | Individual
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Provider Name | OMAR AHMAD MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 800 ROSE ST HQ101
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City | LEXINGTON
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State | KY
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Zip | 40536-0293
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Country | US
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Telephone | 859-323-8178
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Fax |
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Provider Business Mailing Address
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Address Line | 740 S LIMESTONE ST K512
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City | LEXINGTON
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State | KY
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Zip | 40536-0284
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Country | US
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Telephone | 859-323-8178
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Fax | 859-257-9286
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 53421-020
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License Number State | WI
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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 | 036.124802
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301096002
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01071011A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 49133
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License Number State | KY
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