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General NPI Number Information
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NPI Number | 1740090588
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Entity Type | Organization
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Legal Business Name | ZAINAB MAHMOUD MD PC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 4910 VAN NUYS BLVD STE 209
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1764
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Country | US
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Telephone | 310-883-8920
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Fax |
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Provider Business Mailing Address
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Address Line | 2901A CENTRAL STREET SUITE 2
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City | EVANSTON
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State | IL
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Zip | 60201
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Country | US
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Telephone | 310-883-8920
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Fax |
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Authorized Official
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Title or Position | SCRATARY
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Name | KEVIN NELSON
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Credential |
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Telephone | 310-883-8920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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