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General NPI Number Information
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NPI Number | 1003072794
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Entity Type | Individual
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Provider Name | ABDULSATTAR ZIDAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 1845 CHERRY ST
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City | MONTGOMERY
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State | AL
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Zip | 36107-2613
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Country | US
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Telephone | 334-420-5001
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Fax | 334-420-0158
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Provider Business Mailing Address
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Address Line | 1020 SOUTHLAKE CV
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City | HOOVER
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State | AL
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Zip | 35244-3282
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Country | US
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Telephone | 304-840-3001
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Fax | 205-238-5703
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 31147
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License Number State | AL
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