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General NPI Number Information
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NPI Number | 1902007073
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Entity Type | Individual
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Provider Name | MOHAMED AHMED ABDALLA M.D
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10701 EAST BLVD LOUIS STOKES CLEVELAND VA MEDICAL CENTER
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City | CLEVELAND
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State | OH
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Zip | 44106-1702
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Country | US
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Telephone | 440-263-8606
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Fax |
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Provider Business Mailing Address
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Address Line | 10701 EAST BLVD LOUIS STOKES CLEVELAND VA MEDICAL CENTER
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City | CLEVELAND
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State | OH
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Zip | 44106-1702
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Country | US
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Telephone | 440-263-8606
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35. 085551
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License Number State | OH
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