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General NPI Number Information
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NPI Number | 1124348263
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Entity Type | Individual
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Provider Name | ABRAHAM AKRAM ASSAD M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 08/29/2014
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Provider Practice Location Address
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Address Line | 2700 CORAL RIDGE AVE
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City | CORALVILLE
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State | IA
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Zip | 52241-4708
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Country | US
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Telephone | 319-626-2391
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 CORAL RIDGE AVE
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City | CORALVILLE
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State | IA
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Zip | 52241-4708
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Country | US
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Telephone | 319-626-2391
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | R-8850
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | ME119228
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 40021
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License Number State | IA
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