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General NPI Number Information
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NPI Number | 1750054730
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Entity Type | Individual
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Provider Name | AL MAMOON YOUSEF HAMDAN AL MAAYAIH MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 1600 MEDICAL CENTER DR
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City | HUNTINGTON
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State | WV
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Zip | 25701-3656
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Country | US
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Telephone | 304-526-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PYRAMID DR APT 105
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City | HUNTINGTON
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State | WV
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Zip | 25705-3195
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Country | US
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Telephone | 520-678-5560
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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 | R78880
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License Number State | AZ
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