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General NPI Number Information
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NPI Number | 1316260375
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Entity Type | Organization
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Legal Business Name | MICHAEL ABBOUD OBGYN PC
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 1009 BRIGHTON BEACH AVE 3RD FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11235-5621
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Country | US
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Telephone | 718-743-3183
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 BRIGHTON BEACH AVE 3RD FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11235-5621
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Country | US
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Telephone | 718-743-3183
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | AIMAN MICHAEL ABBOUD
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Credential | M.D., D.O
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Telephone | 718-743-3183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 232699
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License Number State | NY
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