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General NPI Number Information
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NPI Number | 1811973902
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Entity Type | Individual
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Provider Name | M. HANY FATHY ELSAYED MD
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 10611 S WINSTON CT
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City | TULSA
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State | OK
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Zip | 74137-6804
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Country | US
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Telephone | 918-813-2431
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Fax |
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Provider Business Mailing Address
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Address Line | 10611 S WINSTON CT
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City | TULSA
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State | OK
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Zip | 74137-6804
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Country | US
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Telephone | 918-813-2431
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME63477
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 01087122A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A50101
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 01087122A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | ME63477
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License Number State | FL
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