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General NPI Number Information
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NPI Number | 1811283740
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Entity Type | Individual
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Provider Name | MOHAMMED BERROU M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 6701 AIRPORT BLVD STE B135
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City | MOBILE
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State | AL
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Zip | 36608
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Country | US
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Telephone | 251-633-0573
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Fax | 251-633-7367
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Provider Business Mailing Address
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Address Line | PO BOX 7987
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City | MOBILE
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State | AL
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Zip | 36670-0987
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Country | US
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Telephone | 251-633-0573
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Fax | 251-633-7367
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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 | 4301104447
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34289
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT198624
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 34289
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License Number State | AL
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