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General NPI Number Information
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NPI Number | 1528474079
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Entity Type | Individual
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Provider Name | ABUZAID ABBAS ALAWAD MEDANI MD
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Gender | Male
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Dates
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Enumeration Date | 07/04/2014
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 3400 MINISTRY PKWY
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City | WESTON
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State | WI
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Zip | 54476-5220
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Country | US
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Telephone | 715-389-5127
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Fax |
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Provider Business Mailing Address
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Address Line | 625 S NEW BALLAS RD STE 7020
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8218
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Country | US
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Telephone | 314-251-6486
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Fax | 314-251-4155
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 64670-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 64670
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 64670
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 2024007641
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License Number State | MO
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