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General NPI Number Information
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NPI Number | 1639508542
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Entity Type | Individual
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Provider Name | MOHAMMED ZAWAHIRI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 351 EXCHANGE BLVD STE 220
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City | HUTTO
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State | TX
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Zip | 78634-5846
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Country | US
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Telephone | 512-846-4002
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Fax |
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Provider Business Mailing Address
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Address Line | 351 EXCHANGE BLVD STE 220
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City | HUTTO
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State | TX
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Zip | 78634-5846
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Country | US
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Telephone | 512-846-4002
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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 | 17348
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | BP10049157
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 17348
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S2703
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License Number State | TX
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