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General NPI Number Information
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NPI Number | 1194645770
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Entity Type | Organization
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Legal Business Name | SHERWIN ABDOLI MD INC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 655 REDWOOD HWY FRONTAGE RD STE 367
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City | MILL VALLEY
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State | CA
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Zip | 94941-3013
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Country | US
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Telephone | 214-494-9125
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Fax |
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Provider Business Mailing Address
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Address Line | 219 REED BLVD
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City | MILL VALLEY
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State | CA
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Zip | 94941-2503
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Country | US
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Telephone | 214-494-9125
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Fax |
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Authorized Official
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Title or Position | OWNER, DIRECTOR
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Name | SHERWIN ABDOLI
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Credential | MD
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Telephone | 214-494-9125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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