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General NPI Number Information
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NPI Number | 1447414776
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Entity Type | Individual
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Provider Name | ADHAM JURDI MD
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Gender | Male
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 900 E 30TH ST STE 100
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City | AUSTIN
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State | TX
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Zip | 78705-3378
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Country | US
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Telephone | 512-505-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 9715 BURNET RD. BLDG 7. STE 200
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City | AUSTIN
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State | TX
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Zip | 78758
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Country | US
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Telephone | 125-055-5500
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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 | 276568
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 276568
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | S2607
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License Number State | TX
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