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General NPI Number Information
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NPI Number | 1811174634
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Entity Type | Individual
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Provider Name | MOHAMED M TAHA MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 945 N 12TH ST AURORA SINAI MEDICAL CENTER
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City | MILWAUKEE
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State | WI
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Zip | 53233-1305
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Country | US
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Telephone | 414-219-2000
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Fax | 414-219-4539
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Provider Business Mailing Address
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Address Line | PO BOX 342 945 N 12TH ST AURORA SINAI MEDICAL CENTER
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City | MILWAUKEE
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State | WI
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Zip | 53201-0342
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Country | US
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Telephone | 414-219-2000
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Fax | 414-219-4539
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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 | 50500
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 50500
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME110116
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License Number State | FL
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