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General NPI Number Information
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NPI Number | 1710295506
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Entity Type | Individual
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Provider Name | OSAMA AHMED JAMIL MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 10700 MCPHERSON RD
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City | LAREDO
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State | TX
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Zip | 78045-6268
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Country | US
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Telephone | 956-523-2000
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Fax | 956-523-0444
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Provider Business Mailing Address
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Address Line | PO BOX 3046
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City | MALVERN
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State | PA
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Zip | 19355-0746
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Country | US
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Telephone | 956-523-2000
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Fax | 956-523-0444
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | S3537
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License Number State | TX
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