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General NPI Number Information
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NPI Number | 1336329721
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Entity Type | Organization
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Legal Business Name | DIABETES OSTEOPOROSIS OBESITY INC
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 1111 SUPERIOR STREET SUITE 201
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City | MELROSE PARK
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State | IL
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Zip | 60160
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Country | US
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Telephone | 708-345-2211
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Fax | 708-345-2224
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Provider Business Mailing Address
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Address Line | PO BOX 1053
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City | MAYWOOD
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State | IL
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Zip | 60153
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Country | US
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Telephone | 708-345-2211
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Fax | 708-345-2224
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Authorized Official
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Title or Position | MD OWNER
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Name | DR. MAHA ABBOUD
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Credential | MD FACE
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Telephone | 708-345-2211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State | IL
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