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General NPI Number Information
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NPI Number | 1467245480
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Entity Type | Individual
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Provider Name | HAMID ABBAS
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Gender | Male
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 22901 MILLCREEK BLVD STE 200
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City | BEACHWOOD
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State | OH
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Zip | 44122-5701
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Country | US
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Telephone | 216-727-0234
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Fax |
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Provider Business Mailing Address
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Address Line | 6507 MARSOL RD APT 621
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-3516
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Country | US
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Telephone | 319-512-0756
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | RES.004895
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License Number State | OH
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