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General NPI Number Information
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NPI Number | 1174825285
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Entity Type | Individual
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Provider Name | ADNAN ALI S ALSADAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2010
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 10524 EUCLID AVE C15
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City | CLEVELAND
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State | OH
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Zip | 44195-4325
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Country | US
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Telephone | 216-645-6403
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Fax |
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Provider Business Mailing Address
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Address Line | 10524 EUCLID AVE # C15
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City | CLEVELAND
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State | OH
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Zip | 44106-2205
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Country | US
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Telephone | 216-645-6403
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 35.129778
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License Number State | OH
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