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General NPI Number Information
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NPI Number | 1225099658
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Entity Type | Organization
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Legal Business Name | ABDULMALEK SABBAGH MD
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 29 HOSPITAL PLZ
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City | WESTON
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State | WV
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Zip | 26452-8470
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Country | US
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Telephone | 304-269-1448
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Fax | 304-269-5235
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Provider Business Mailing Address
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Address Line | 29 HOSPITAL PLZ
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City | WESTON
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State | WV
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Zip | 26452-8470
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Country | US
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Telephone | 304-269-1448
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Fax | 304-269-5235
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Authorized Official
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Title or Position | OWNER
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Name | DR. ABDULMALEK SABBAGH
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Credential | MD
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Telephone | 304-269-1448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | WV17371
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License Number State | WV
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