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General NPI Number Information
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NPI Number | 1659569390
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Entity Type | Individual
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Provider Name | ELWALEED ELNOUR MD
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Gender | Male
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 310 S CLARK RD STE D
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4234
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Country | US
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Telephone | 469-513-2700
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Fax | 469-868-0467
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Provider Business Mailing Address
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Address Line | 310 S CLARK RD STE D
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4234
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Country | US
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Telephone | 469-513-2700
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Fax | 469-868-0467
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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 | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | 19070
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 259050
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 259050
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T3765
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License Number State | TX
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