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General NPI Number Information
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NPI Number | 1053730655
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Entity Type | Individual
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Provider Name | ELIANE ABOU-JAOUDE
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Gender | Female
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 2600 VIRGINIA AVE NW STE 508
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City | WASHINGTON
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State | DC
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Zip | 20037-1946
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Country | US
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Telephone | 202-342-1984
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Fax |
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Provider Business Mailing Address
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Address Line | 1017 E SARATOGA RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6407
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Country | US
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Telephone |
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 0101268137
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | MD047818
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License Number State | DC
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