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General NPI Number Information
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NPI Number | 1891137394
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Entity Type | Individual
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Provider Name | AHMED MOHAMED TORKY MD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 301 N 8TH ST STE 3A169
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City | SPRINGFIELD
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State | IL
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Zip | 62701-1041
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Country | US
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Telephone | 217-353-1256
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Fax | 217-545-6978
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Provider Business Mailing Address
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Address Line | NATIONAL INSTITUTES OF HEALTH 10 CENTER DR ROOM 1-3330
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City | BETHESDA
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State | MD
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Zip | 20892-1103
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Country | US
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Telephone | 301-827-1482
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | MD043984
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License Number State | DC
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