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General NPI Number Information
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NPI Number | 1659140424
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Entity Type | Individual
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Provider Name | MOHAMMED ATEF MOHSEN AL-SIBAI MD
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Gender | Male
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Dates
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Enumeration Date | 12/21/2023
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 8313 KING ABDUL AZIZ ROAD AN-NAHDAH DISTRICT
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City | JEDDAH
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State | MAKKAH REGION
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Zip | 23523
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Country | SA
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Telephone | 50-004-3538
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Fax |
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Provider Business Mailing Address
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Address Line | 21 BUTTONWOOD RD
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City | NORTON
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State | MA
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Zip | 02766-1542
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Country | US
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Telephone | 617-650-0890
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D23279
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 19291
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License Number State | KS
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