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General NPI Number Information
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NPI Number | 1710265210
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Entity Type | Individual
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Provider Name | DR. WALID HAMMAD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 110 S PACA ST 6TH FLOOR STE 200
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City | BALTIMORE
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State | MD
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Zip | 21201-1642
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Country | US
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Telephone | 410-328-4931
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Fax |
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Provider Business Mailing Address
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Address Line | 8736 FOXHALL TER
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City | FAIRFAX STATION
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State | VA
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Zip | 22039-3300
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Country | US
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Telephone | 571-331-9288
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0072379
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101258582
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License Number State | VA
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