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General NPI Number Information
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NPI Number | 1073443446
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Entity Type | Individual
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Provider Name | HAMZA BASSAM ABO ZEED
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Gender | Male
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Dates
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Enumeration Date | 05/19/2026
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Last Update Date | 05/19/2026
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Provider Practice Location Address
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Address Line | 9688 W CANFORD DR
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City | BOISE
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State | ID
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Zip | 83709-5778
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Country | US
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Telephone | 208-999-1278
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Fax |
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Provider Business Mailing Address
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Address Line | 9688 W CANFORD DR
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City | BOISE
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State | ID
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Zip | 83709-5778
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | AD014475X
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License Number State |
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