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General NPI Number Information
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NPI Number | 1972714251
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Entity Type | Individual
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Provider Name | MOUHAMAD ABDALLAH MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 5275 STATE ROUTE 122 STE 200
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City | FRANKLIN
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State | OH
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Zip | 45005-9617
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Country | US
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Telephone | 513-217-6400
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Fax | 937-557-6431
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Provider Business Mailing Address
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Address Line | 3170 KETTERING BLVD BUILDING B 3RD FLOOR
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City | MORAINE
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State | OH
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Zip | 45439-1924
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Country | US
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Telephone | 937-991-3188
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 41485
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35.090531
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 35 090531
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License Number State | OH
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