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General NPI Number Information
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NPI Number | 1871784058
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Entity Type | Individual
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Provider Name | MOHAMMED BAYASI MD
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 1850 TOWN CENTER PKWY STE 310
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City | RESTON
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State | VA
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Zip | 20190-3300
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Country | US
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Telephone | 703-570-5227
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Fax | 703-574-4645
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Provider Business Mailing Address
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Address Line | 1850 TOWN CENTER PKWY STE 310
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City | RESTON
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State | VA
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Zip | 20190-3300
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Country | US
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Telephone | 832-494-7701
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Fax | 703-574-4645
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | BP10029119
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License Number State | TX
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