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General NPI Number Information
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NPI Number | 1326018003
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Entity Type | Individual
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Provider Name | ABIR ADAM MD
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 225 WILLIAMSON ST
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City | ELIZABETH
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State | NJ
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Zip | 07202-3625
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Country | US
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Telephone | 908-994-5204
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Fax |
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Provider Business Mailing Address
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Address Line | 804 SCOTT NIXON MEMORIAL DR
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City | AUGUSTA
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State | GA
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Zip | 30907-2464
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA07588900
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License Number State | NJ
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