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General NPI Number Information
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NPI Number | 1700149366
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Entity Type | Individual
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Provider Name | AHMAD A ALWASSIA MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 300A FAUNCE CORNER RD STE 102
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City | NORTH DARTMOUTH
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State | MA
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Zip | 02747-1280
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Country | US
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Telephone | 508-973-9050
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Fax | 508-999-5151
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Provider Business Mailing Address
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Address Line | 200 MILL RD STE 180
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City | FAIRHAVEN
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State | MA
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Zip | 02719-5255
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Country | US
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Telephone | 508-973-5919
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Fax | 508-973-5916
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 252044
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 252044
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 252044
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License Number State | MA
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