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General NPI Number Information
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NPI Number | 1851719728
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Entity Type | Individual
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Provider Name | MUHAMMAD MASAUD MOHYUDDIN MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 115 HEART DR
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City | GREENVILLE
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State | NC
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Zip | 27834-8982
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Country | US
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Telephone | 252-744-4400
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Fax | 252-744-3987
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Provider Business Mailing Address
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Address Line | 115 HEART DR
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City | GREENVILLE
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State | NC
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Zip | 27834-8982
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | RTL23-1274
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD044989
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License Number State | DC
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