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General NPI Number Information
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NPI Number | 1639758303
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Entity Type | Individual
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Provider Name | AMAD WALAJAHI MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 215 E 96TH ST APT 16M
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City | NEW YORK
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State | NY
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Zip | 10128-4119
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Country | US
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Telephone | 501-380-2217
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Fax |
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Provider Business Mailing Address
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Address Line | 3214 E RACE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4810
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Country | US
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Telephone | 501-380-2217
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E-16908
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 334150
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License Number State | NY
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