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General NPI Number Information
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NPI Number | 1396937751
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Entity Type | Individual
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Provider Name | AMAL ABDULKADIR NP
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Gender | Female
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 5060 SHOREHAM PL STE 330
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City | SAN DIEGO
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State | CA
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Zip | 92122-5976
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Country | US
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Telephone | 877-840-6956
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7291
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City | LEWISTON
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State | ME
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Zip | 04243-7291
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Country | US
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Telephone | 207-777-8950
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Fax | 207-777-8800
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2281356
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CMP191017
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95029375
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License Number State | CA
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