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General NPI Number Information
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NPI Number | 1770124273
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Entity Type | Individual
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Provider Name | MOHAMED MAKLAD MD
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Gender | Male
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Dates
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Enumeration Date | 10/05/2019
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE # NA-23
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 DERBYSHIRE RD APT 206
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City | CLEVELAND
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State | OH
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Zip | 44106-3309
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Country | US
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Telephone | 216-856-0095
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 57.248605
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 35.148632
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License Number State | OH
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