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General NPI Number Information
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NPI Number | 1609564855
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Entity Type | Individual
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Provider Name | BAHJAT SAID AYASS MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | SOMERIAN HEALTH - HAZZA 'BIN ZAYED THE FIRST ST TAMOUH BUSINESS HUB, BLOCK A, 1ST FLOOR
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City | ABU DHABI
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State | ABU DHABI PROVINCE
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Zip | 11111
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Country | AE
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Telephone | 50-693-9930
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Fax |
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Provider Business Mailing Address
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Address Line | 1647 JUNIPER RIDGE ST
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City | POMONA
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State | CA
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Zip | 91766-4113
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Country | US
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Telephone | 909-973-9715
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A50659
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License Number State | CA
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