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General NPI Number Information
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NPI Number | 1952930935
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Entity Type | Individual
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Provider Name | MOHAMMED GHEITH DPM
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Gender | Male
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 55 E 124TH ST
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City | NEW YORK
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State | NY
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Zip | 10035-1815
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Country | US
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Telephone | 212-410-8158
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Fax |
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Provider Business Mailing Address
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Address Line | 97 SHERWOOD ST
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City | CLIFTON
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State | NJ
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Zip | 07013-1307
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Country | US
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Telephone | 347-782-3765
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 007404
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License Number State | NY
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