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General NPI Number Information
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NPI Number | 1992363238
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Entity Type | Individual
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Provider Name | MOHAMMAD JABER MD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2019
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 130 2ND ST
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City | NEENAH
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State | WI
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Zip | 54956-2883
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Country | US
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Telephone | 920-969-7900
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Fax | 920-969-7979
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Provider Business Mailing Address
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Address Line | 3750 SHAWANO AVE APT 69
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City | GREEN BAY
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State | WI
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Zip | 54313-7467
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Country | US
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Telephone | 217-621-4364
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 292052
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 85475-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125073883
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License Number State | IL
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