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General NPI Number Information
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NPI Number | 1477992402
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Entity Type | Individual
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Provider Name | NOOR DASOUKI ABUALNADI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 07/28/2017
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Provider Practice Location Address
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Address Line | 1500 E MEDICAL CENTER DR
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City | ANN ARBOR
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State | MI
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Zip | 48109-5000
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Country | US
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Telephone | 734-936-9434
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Fax | 734-232-6020
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Provider Business Mailing Address
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Address Line | 101 MANNING DR
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City | CHAPEL HILL
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State | NC
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Zip | 27514-4220
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Country | US
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Telephone | 919-595-5929
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301103670
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 2017-00636
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License Number State | NC
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