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General NPI Number Information
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NPI Number | 1033900642
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Entity Type | Individual
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Provider Name | AHMAD ABDEEN MD
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Gender | Male
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 3401 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5103
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Country | US
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Telephone | 800-836-7536
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Fax |
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Provider Business Mailing Address
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Address Line | 1775 N AMERICAN ST APT 402
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City | PHILADELPHIA
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State | PA
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Zip | 19122-3188
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Country | US
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Telephone | 804-882-9698
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MT234366
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License Number State | PA
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