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General NPI Number Information
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NPI Number | 1851340319
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Entity Type | Individual
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Provider Name | MOHAMMED M AHMED M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 4 W ROLLING XRDS STE 100
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City | CATONSVILLE
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State | MD
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Zip | 21228-6277
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Country | US
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Telephone | 410-869-0100
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Fax | 410-601-7317
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Provider Business Mailing Address
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Address Line | 10433 KINGSBRIDGE RD
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-5853
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Country | US
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Telephone | 443-739-7129
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Fax | 410-601-7317
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0044796
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License Number State | MD
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