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General NPI Number Information
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NPI Number | 1689435141
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Entity Type | Individual
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Provider Name | MOHAMMED GAMAL AL AWDI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 10015 JOSEPH CAMPAU ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3221
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Country | US
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Telephone | 734-547-5443
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Fax |
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Provider Business Mailing Address
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Address Line | 12081 MITCHELL ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-4224
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Country | US
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Telephone | 313-502-6095
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302414572
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License Number State | MI
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