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General NPI Number Information
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NPI Number | 1952929804
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Entity Type | Individual
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Provider Name | MAHMOUD M SHALABY MD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 3400 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4238
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Country | US
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Telephone | 215-662-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 225 SCOTTDALE RD APT A304
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City | LANSDOWNE
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State | PA
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Zip | 19050-2340
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Country | US
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Telephone | 201-736-7171
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD491934
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0028374
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License Number State | DE
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