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General NPI Number Information
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NPI Number | 1851890990
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Entity Type | Individual
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Provider Name | JOHNNY T AWWAD MD, HCLD (ABB)
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Gender | Male
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Dates
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Enumeration Date | 02/05/2018
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | SIDRA MEDICINE. AL LUQTA ST. EDUCATION CITY NORTH CAMP WOMEN'S SERVICES. OPC3-302.
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City | DOHA
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State | DOHA
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Zip | 26999
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Country | QA
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Telephone | 617-775-4490
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Fax |
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Provider Business Mailing Address
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Address Line | 260 SCHOOL ST
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City | BELMONT
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State | MA
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Zip | 02478-3565
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Country | US
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Telephone | 617-775-4490
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 81302
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License Number State | MA
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