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General NPI Number Information
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NPI Number | 1376286625
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Entity Type | Individual
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Provider Name | AMER HISHAM ALBOUSH MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 720 ESKENAZI AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5187
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Country | US
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Telephone | 317-278-5570
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Fax |
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Provider Business Mailing Address
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Address Line | 720 ESKENAZI AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5187
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Country | US
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Telephone | 630-488-1880
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01096551A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 01096551A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R-12373
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License Number State | IA
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