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General NPI Number Information
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NPI Number | 1568556512
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Entity Type | Individual
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Provider Name | RIYADH S HAMMOD MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 1103 W SHERMAN AVE BLDG 2 UNIT A
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City | VINELAND
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State | NJ
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Zip | 08360-6915
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Country | US
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Telephone | 856-692-9900
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Fax | 856-692-9911
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Provider Business Mailing Address
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Address Line | PO BOX 183
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City | BRIDGETON
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State | NJ
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Zip | 08302-0137
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Country | US
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Telephone | 856-451-9395
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Fax | 856-451-8615
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MA067470
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License Number State | NJ
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