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General NPI Number Information
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NPI Number | 1922542232
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Entity Type | Organization
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Legal Business Name | WELLNESS AND ADDICTION RECOVERY
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 390 MARION AVE
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City | MANSFIELD
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State | OH
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Zip | 44903-2015
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Country | US
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Telephone | 419-631-1426
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Fax |
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Provider Business Mailing Address
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Address Line | 390 MARION AVE
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City | MANSFIELD
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State | OH
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Zip | 44903-2015
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Country | US
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Telephone | 419-631-1426
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MOHAMMAD ALMAS AHMED
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Credential | D.O.
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Telephone | 419-631-1426
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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 |
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License Number State |
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