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General NPI Number Information
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NPI Number | 1861359010
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Entity Type | Individual
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Provider Name | MOSTAFA ELSHAARAWY
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Gender | Male
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 5677 EMPORIUM SQ
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City | COLUMBUS
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State | OH
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Zip | 43231-2801
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Country | US
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Telephone | 614-596-2054
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Fax | 614-596-2054
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Provider Business Mailing Address
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Address Line | 183 RENEAU AVE
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City | GALLOWAY
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State | OH
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Zip | 43119
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Country | US
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Telephone | 614-392-0373
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Fax | 614-968-8699
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | OH
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