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General NPI Number Information
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NPI Number | 1215129341
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Entity Type | Individual
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Provider Name | IBRAHIM S ABU ROMEH MD
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Gender | Male
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 1115 RONALD REAGAN PKWY STE 171
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City | AVON
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State | IN
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Zip | 46123-6910
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Country | US
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Telephone | 317-217-3000
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Fax | 317-273-5988
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301100113
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01077129A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 01077129A
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License Number State | IN
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