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NPI 1023053980

NPI 1023053980 : HASSAN ABBASS MD : MAYFIELD HEIGHTS, OH

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General NPI Number Information
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    NPI Number           |    1023053980
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    Entity Type          |    Individual 
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    Provider Name        |    HASSAN ABBASS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/17/2006
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    Last Update Date     |    12/03/2020
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Provider Practice Location Address
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    Address Line         |    5850 LANDERBROOK DR STE 100 
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    City                 |    MAYFIELD HEIGHTS
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    State                |    OH
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    Zip                  |    44124-4071
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    Country              |    US
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    Telephone            |    216-488-4800
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    Fax                  |    440-786-1321
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Provider Business Mailing Address
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    Address Line         |    PO BOX 74550 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44194-0002
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    Country              |    US
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    Telephone            |    216-383-6776
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    Fax                  |    216-383-6745
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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        |    207Y00000X
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    Taxonomy Name        |    Otolaryngology Physician
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    License Number       |    35-068071
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    License Number State |    OH
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