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General NPI Number Information
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NPI Number | 1962661033
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Entity Type | Individual
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Provider Name | HANI AHMED MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 5120 LEGACY DR
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City | PLANO
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State | TX
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Zip | 75024-3399
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Country | US
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Telephone | 469-344-2009
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Fax |
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Provider Business Mailing Address
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Address Line | 5120 LEGACY DR
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City | PLANO
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State | TX
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Zip | 75024-3399
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Country | US
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Telephone | 469-344-2009
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.204376
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 125050441
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | Q1342
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License Number State | TX
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