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General NPI Number Information
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NPI Number | 1982049292
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Entity Type | Individual
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Provider Name | MOHAMED YAHYA AL SAWAF M.D
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Gender | Male
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 550 PEACHTREE ST. N.W.
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City | ATLANTA
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State | GA
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Zip | 30309
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Country | US
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Telephone | 404-686-5612
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Fax |
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Provider Business Mailing Address
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Address Line | 14826 PLEASANT RIDGE CT
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City | CHESTERFIELD
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State | MO
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Zip | 63017-5569
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Country | US
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Telephone | 636-537-4664
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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 | 70517
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License Number State | GA
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