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General NPI Number Information
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NPI Number | 1730506866
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Entity Type | Individual
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Provider Name | AHMAD TAREK CHAMI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 7011 A C SKINNER PKWY
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6954
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Country | US
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Telephone | 904-493-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 11100 EUCLID AVE LAKESIDE 5029
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-844-3811
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35130474
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME154453
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License Number State | FL
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