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General NPI Number Information
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NPI Number | 1265782668
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Entity Type | Individual
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Provider Name | AMIR ABDELLI MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2012
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 1525 N 12TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53205-2591
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Country | US
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Telephone | 414-966-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 POTRERO AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3594
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Country | US
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Telephone | 628-206-8426
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD227931
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 77376
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A164365
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License Number State | CA
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