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General NPI Number Information
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NPI Number | 1447196845
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Entity Type | Individual
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Provider Name | IBRAHIM ABDELMONEIM MD
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Gender | Male
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 300 LONGWOOD AVE # 3084
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City | BOSTON
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State | MA
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Zip | 02115-5724
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Country | US
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Telephone | 617-355-1914
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Fax | 617-730-0214
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Provider Business Mailing Address
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Address Line | 1223 BEACON ST APT 400
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City | BROOKLINE
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State | MA
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Zip | 02446-5391
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Country | US
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Telephone | 857-421-6063
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 3019776
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License Number State | MA
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