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General NPI Number Information
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NPI Number | 1306016159
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Entity Type | Organization
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Legal Business Name | CHERRY HILL PRIMARY CARE PLLC
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 339 INKSTER RD
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City | INKSTER
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State | MI
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Zip | 48141-1208
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Country | US
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Telephone | 313-278-2000
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Fax | 313-562-9407
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Provider Business Mailing Address
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Address Line | 339 INKSTER RD
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City | INKSTER
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State | MI
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Zip | 48141-1208
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Country | US
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Telephone | 313-278-2000
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Fax | 313-562-9407
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. ADIB OMAR ABDOLKARIM
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Credential | M.D.
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Telephone | 313-278-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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