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General NPI Number Information
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NPI Number | 1659660272
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Entity Type | Individual
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Provider Name | AHMAD ALKADDOUR M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 15300 WEST AVE STE 210
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City | ORLAND PARK
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State | IL
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Zip | 60462-4686
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Country | US
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Telephone | 708-226-2870
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Fax | 708-226-2315
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Provider Business Mailing Address
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Address Line | 1120 15TH ST STE BI1056
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-721-3813
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Fax | 202-877-0876
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036169650
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD044169
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME119677
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 81162
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 86430-20
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License Number State | WI
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 81162
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 84938
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License Number State | SC
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