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General NPI Number Information
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NPI Number | 1063724813
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Entity Type | Individual
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Provider Name | JOELLE AOUN ABOOD M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 01/14/2019
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Provider Practice Location Address
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Address Line | 2825 LIVERNOIS ROAD HENRY FORD MEDICAL CENTER - WOMEN'S HEALTH
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City | TROY
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State | MI
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Zip | 48083
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Country | US
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Telephone | 248-680-6000
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Fax | 757-594-4735
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Provider Business Mailing Address
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Address Line | 6777 W. MAPLE RD, WEST BLOOMFIELD TOWNSHIP, HENRY FORD HOSPITAL
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322
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Country | US
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Telephone | 248-325-1000
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Fax | 757-594-3184
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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 | 4301104545
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License Number State | MI
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