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General NPI Number Information
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NPI Number | 1821036559
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Entity Type | Individual
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Provider Name | MOHAMAD-AMMAR F AYASS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 3021 GREEN MEADOW DR
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City | SAN ANGELO
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State | TX
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Zip | 76904-6975
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Country | US
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Telephone | 325-223-1800
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Fax | 325-223-1810
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Provider Business Mailing Address
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Address Line | 8501 WADE BLVD STE 750
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City | FRISCO
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State | TX
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Zip | 75034-6437
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Country | US
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Telephone | 972-668-6005
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Fax | 972-635-4440
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | L2116
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License Number State | TX
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