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General NPI Number Information
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NPI Number | 1033313028
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Entity Type | Individual
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Provider Name | ABBAS ZAGNOON MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 AMEER ABDULLH STREET KING FAISAL SPECIALIST HOSPITAL AND RESEARCH CENTER
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City | JEDDAH
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State | SAUDI ARABIA
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Zip | 21499
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Country | SA
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Telephone | 6677777
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Fax | 6630673
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Provider Business Mailing Address
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Address Line | 2998 CHAMBORD DR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-3517
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Country | US
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Telephone | 248-538-7404
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4301060783
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License Number State | MI
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