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General NPI Number Information
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NPI Number | 1669781670
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Entity Type | Individual
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Provider Name | MASHAEL AL-NAMAEH O.D.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2010
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Last Update Date | 12/23/2022
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Provider Practice Location Address
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Address Line | 8230 MONTGOMERY RD STE 120
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City | CINCINNATI
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State | OH
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Zip | 45236-2292
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Country | US
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Telephone | 877-506-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 S JOYCE ST APT 136
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City | ARLINGTON
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State | VA
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Zip | 22202-1805
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Country | US
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Telephone | 703-992-5424
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618002015
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OP1000216
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | DA 2221
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License Number State | MD
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