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General NPI Number Information
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NPI Number | 1073931127
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Entity Type | Individual
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Provider Name | ABDELHAI ABDELQADER MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 2160 S 1ST AVE
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City | MAYWOOD
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State | IL
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Zip | 60153-3328
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Country | US
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Telephone | 708-216-9000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2153 DEPT 1947
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City | BIRMINGHAM
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State | AL
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Zip | 35287-0001
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Country | US
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Telephone | 901-226-3186
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Fax | 901-226-3160
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME151835
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036171489
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License Number State | IL
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