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General NPI Number Information
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NPI Number | 1649774167
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Entity Type | Individual
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Provider Name | NEBIL H MOHAMMED
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Gender | Male
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 1001 POTRERO AVE BLDG 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3518
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Country | US
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Telephone | 415-206-8230
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 ARCH ST APT 1
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City | BERKELEY
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State | CA
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Zip | 94708-1847
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Country | US
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Telephone | 510-499-2761
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | A174914
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License Number State | CA
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