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General NPI Number Information
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NPI Number | 1801890256
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Entity Type | Individual
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Provider Name | AHMAD H MURAYWID M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 03/17/2016
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Provider Practice Location Address
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Address Line | 3626 S CLARK ST SUITE A
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City | MEXICO
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State | MO
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Zip | 65265-4104
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Country | US
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Telephone | 573-581-7366
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Fax | 573-581-7422
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Provider Business Mailing Address
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Address Line | 3626 S CLARK ST SUITE A
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City | MEXICO
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State | MO
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Zip | 65265-4104
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Country | US
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Telephone | 573-581-7366
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Fax | 573-581-7422
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | R8158
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License Number State | MO
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