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General NPI Number Information
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NPI Number | 1477065209
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Entity Type | Organization
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Legal Business Name | ABDULHOSEIN N ADHAM
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 11/02/2017
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Provider Practice Location Address
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Address Line | 4467 OLD BRANCH AVE STE 201
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City | TEMPLE HILLS
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State | MD
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Zip | 20748-1854
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Country | US
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Telephone | 301-899-8900
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Fax | 301-899-2963
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Provider Business Mailing Address
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Address Line | 4467 OLD BRANCH AVE STE 201
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City | TEMPLE HILLS
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State | MD
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Zip | 20748-1854
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Country | US
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Telephone | 301-899-8900
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Fax | 301-899-2963
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHIRIN TALEGHANI
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Credential |
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Telephone | 301-899-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D0015557
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License Number State | MD
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