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General NPI Number Information
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NPI Number | 1275411969
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Entity Type | Individual
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Provider Name | AMIR ABDO
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Gender | Male
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 3401 S HARBOR BLVD
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City | SANTA ANA
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State | CA
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Zip | 92704-7933
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Country | US
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Telephone | 714-830-6551
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Fax |
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Provider Business Mailing Address
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Address Line | 911 S LONE PINE LN
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City | ANAHEIM
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State | CA
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Zip | 92808-2355
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Country | US
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Telephone | 714-391-1596
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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 | 91099
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License Number State | CA
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