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General NPI Number Information
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NPI Number | 1649775610
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Entity Type | Organization
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Legal Business Name | ASMA S. AHMAD, MD, LLC
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4160 SW CHARMING WAY
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City | PORTLAND
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State | OR
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Zip | 97225-2025
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Country | US
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Telephone | 503-539-5537
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Fax |
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Provider Business Mailing Address
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Address Line | 4160 SW CHARMING WAY
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City | PORTLAND
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State | OR
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Zip | 97225-2025
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Country | US
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Telephone | 503-539-5537
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | NANCY E WILKINS
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Credential |
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Telephone | 34-128-3185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD24699
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License Number State | OR
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