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General NPI Number Information
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NPI Number | 1114389608
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Entity Type | Individual
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Provider Name | MICHAEL ABDOU M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 4901 DAWN DR STE 2400
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City | LUMBERTON
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State | NC
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Zip | 28360-0006
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Country | US
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Telephone | 910-671-9298
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Fax | 910-671-4850
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Provider Business Mailing Address
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Address Line | 5221 PARAMOUNT PKWY
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City | MORRISVILLE
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State | NC
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Zip | 27560-5422
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 2024-01196
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License Number State | NC
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