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General NPI Number Information
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NPI Number | 1114065968
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Entity Type | Organization
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Legal Business Name | WAFIK A ABDOU MD INC
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 4101 EMPIRE DR STE 130
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0681
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Country | US
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Telephone | 661-325-1900
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Fax | 661-325-1900
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Provider Business Mailing Address
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Address Line | PO BOX 2029
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City | BAKERSFIELD
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State | CA
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Zip | 93303-2029
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Country | US
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Telephone | 661-843-7612
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Fax | 661-760-6926
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WAFIK A ABDOU
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Credential | M.D.
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Telephone | 661-843-7612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | G66371
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G66371
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License Number State | CA
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