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General NPI Number Information
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NPI Number | 1770902843
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Entity Type | Individual
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Provider Name | AHMED MOHAMED
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Gender | Male
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 14100 FIVAY RD
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City | HUDSON
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State | FL
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Zip | 34667-7180
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Country | US
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Telephone | 727-619-0990
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Fax |
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Provider Business Mailing Address
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Address Line | 19186 BLUE POND DR
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City | LUTZ
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State | FL
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Zip | 33558-5629
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Country | US
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Telephone | 832-633-3368
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | P9229
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 79084
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License Number State | AZ
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