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General NPI Number Information
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NPI Number | 1336163690
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Entity Type | Individual
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Provider Name | ABBAS ALI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 7733 W BURLEIGH ST
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City | MILWAUKEE
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State | WI
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Zip | 53222-5003
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Country | US
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Telephone | 262-328-4232
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Fax | 414-562-6924
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Provider Business Mailing Address
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Address Line | 1001 W GLEN OAKS LN STE 105
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City | MEQUON
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State | WI
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Zip | 53092-3369
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Country | US
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Telephone | 414-365-3210
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Fax | 414-365-2937
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 42044
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License Number State | WI
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