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General NPI Number Information
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NPI Number | 1720255110
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Entity Type | Organization
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Legal Business Name | MUHAMMAD ALGHANNAM MD INC
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 08/09/2020
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Provider Practice Location Address
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Address Line | 1528 PLUMAS CT STE 100
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City | YUBA CITY
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State | CA
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Zip | 95991-2973
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Country | US
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Telephone | 530-763-4104
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Fax | 530-434-6798
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Provider Business Mailing Address
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Address Line | 1528 PLUMAS CT STE 100
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City | YUBA CITY
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State | CA
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Zip | 95991-2973
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Country | US
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Telephone | 530-763-4104
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Fax | 530-434-6798
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Authorized Official
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Title or Position | OWNER
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Name | DR. MUHAMMAD ALGHANNAM
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Credential | MD
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Telephone | 530-763-4104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A78203
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License Number State | CA
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