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General NPI Number Information
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NPI Number | 1225823925
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Entity Type | Individual
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Provider Name | DR. SHERVIN ABBASI
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Gender | Male
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Dates
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Enumeration Date | 04/12/2025
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 401 E CAPITOL DR
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City | MILWAUKEE
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State | WI
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Zip | 53212-1211
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Country | US
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Telephone | 414-967-7804
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Fax |
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Provider Business Mailing Address
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Address Line | 4243 APPLEROCK DR
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City | BAYTOWN
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State | TX
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Zip | 77521-1992
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Country | US
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Telephone | 281-224-8089
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22942-40
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License Number State | WI
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