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General NPI Number Information
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NPI Number | 1043049679
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Entity Type | Individual
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Provider Name | YUSIF BASSAM ABED
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Gender | Male
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Dates
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Enumeration Date | 07/31/2024
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 9534 S ROBERTS RD
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City | HICKORY HILLS
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State | IL
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Zip | 60457-2239
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Country | US
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Telephone | 708-598-0500
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Fax | 708-598-8684
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Provider Business Mailing Address
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Address Line | 9111 SUNRISE LN
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City | ORLAND PARK
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State | IL
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Zip | 60462-4728
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Country | US
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Telephone | 708-789-3131
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051306414
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License Number State | IL
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