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General NPI Number Information
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NPI Number | 1376550285
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Entity Type | Individual
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Provider Name | TALAL M ADHAMI MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE A30
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-2456
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Fax |
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Provider Business Mailing Address
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Address Line | 28151 CAMBRIDGE LANE
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City | PEPPER PIKE
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State | OH
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Zip | 44124
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Country | US
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Telephone | 216-831-9900
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 38133
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 38133
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35068148
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License Number State | OH
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