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General NPI Number Information
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NPI Number | 1619298502
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Entity Type | Individual
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Provider Name | ABD-EL-RAHMAN MOSTAFA ABD-EL-BARR M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 12/08/2024
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Provider Practice Location Address
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Address Line | 3100 E FLETCHER AVE STE 126
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City | TAMPA
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State | FL
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Zip | 33613-4613
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Country | US
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Telephone | 813-756-1755
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Fax | 813-756-1756
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-343-6050
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Fax | 239-343-6136
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 4301096766
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | ME131180
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License Number State | FL
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