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General NPI Number Information
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NPI Number | 1841939592
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Entity Type | Organization
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Legal Business Name | ELOUBEIDI GASTROENTEROLOGY AND ASSOCIATES INC
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 912 SNOW ST
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City | OXFORD
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State | AL
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Zip | 36203-1214
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Country | US
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Telephone | 256-237-1001
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Fax | 888-324-9920
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Provider Business Mailing Address
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Address Line | 912 SNOW ST
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City | OXFORD
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State | AL
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Zip | 36203-1214
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Country | US
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Telephone | 256-237-1001
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Fax | 888-324-9920
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Authorized Official
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Title or Position | PRESIDENT
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Name | MOHAMAD ELOUBEIDI
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Credential | MD
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Telephone | 256-237-1001
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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 |
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License Number State |
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