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General NPI Number Information
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NPI Number | 1861300840
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Entity Type | Individual
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Provider Name | MOHAMMAD JWID DARWEESH M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 11 NEVINS STREET, BOSTON MEDICAL CENTER-BRIGHTON GME MEDICAL OFFICE BUILDING SUITE 304
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City | BOSTON
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State | MA
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Zip | 02135
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Country | US
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Telephone | 617-789-2384
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Fax |
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Provider Business Mailing Address
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Address Line | WASFI AL TAL STREET, 11953
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City | AMMAN
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State | AMMAN
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Zip | 11953
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Country | JO
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 3019829
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License Number State | MA
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