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General NPI Number Information
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NPI Number | 1407102338
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Entity Type | Individual
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Provider Name | ALMAZ ABDYRAKOV M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 5454 HOHMAN AVE
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City | HAMMOND
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State | IN
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Zip | 46320
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Country | US
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Telephone | 219-832-2300
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Fax | 219-852-2502
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Provider Business Mailing Address
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Address Line | 1040 SIERRA DR STE 400
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City | GREENWOOD
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State | IN
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Zip | 46143-7241
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-1479
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036137791
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 125062462
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C174653
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License Number State | CA
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