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General NPI Number Information
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NPI Number | 1871904599
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Entity Type | Individual
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Provider Name | ELIAS AMEEN AWAD M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2014
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | CAROMONT REGIONAL MEDICAL CENTER 2525 COURT DR
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City | GASTONIA
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State | NC
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Zip | 28054
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Country | US
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Telephone | 704-834-2000
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 172328
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City | DENVER
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State | CO
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Zip | 80217-2328
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Country | US
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Telephone | 303-306-7783
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Fax | 303-306-7753
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2022-00082
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DR.0058884
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License Number State | CO
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