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General NPI Number Information
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NPI Number | 1063511970
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Entity Type | Individual
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Provider Name | AIMAN MICHAEL ABBOUD MD DO
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 1009 BRIGHTON BEACH AVE 3RD FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11235-5606
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Country | US
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Telephone | 718-743-3121
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Fax | 718-743-3183
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Provider Business Mailing Address
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Address Line | 1009 BRIGHTON BEACH AVE 3RD FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11235-5606
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Country | US
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Telephone | 718-743-3121
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Fax | 718-743-3183
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 232699
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License Number State | NY
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