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General NPI Number Information
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NPI Number | 1396929873
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Entity Type | Individual
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Provider Name | NAILAH ABDULBAAQEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 950 BATTERY AVE SE STE 1216
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City | ATLANTA
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State | GA
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Zip | 30339-3094
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 1570 HOLCOMB BRIDGE RD
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City | ROSWELL
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State | GA
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Zip | 30076-4703
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Country | US
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Telephone | 404-855-2242
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Fax | 404-793-6727
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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 | 063829
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License Number State | GA
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