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General NPI Number Information
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NPI Number | 1831320571
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Entity Type | Individual
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Provider Name | MOHAMED SULTAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 2300 EYE STREET NW ROOM 707
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City | WASHINGTON
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State | DC
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Zip | 20037
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Country | US
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Telephone | 202-994-4870
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Fax | 202-994-1604
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Provider Business Mailing Address
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Address Line | 3914 CENTREVILLE RD STE 350
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City | CHANTILLY
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State | VA
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Zip | 20151-3289
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Country | US
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Telephone | 202-994-4870
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Fax | 202-994-1604
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 0101269003
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 86018
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 01080740A
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License Number State | IN
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