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General NPI Number Information
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NPI Number | 1932183829
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Entity Type | Individual
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Provider Name | MOHAMMAD SAID AL HASAN MD
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Gender | Male
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Dates
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Enumeration Date | 12/03/2005
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 41 SANTA ANA RD
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City | HOLLISTER
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State | CA
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Zip | 95023-4016
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Country | US
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Telephone | 831-638-0212
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Fax | 831-638-0214
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Provider Business Mailing Address
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Address Line | 41 SANTA ANA RD
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City | HOLLISTER
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State | CA
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Zip | 95023-4016
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Country | US
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Telephone | 831-638-0212
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Fax | 831-638-0214
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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 | A61093
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License Number State | CA
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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 | 306759-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A061093
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 306759-01
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A61093
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License Number State | CA
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