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General NPI Number Information
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NPI Number | 1548430945
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Entity Type | Organization
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Legal Business Name | THABET ABBARAH MD ENT PC
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 4000 HIGHLAND RD SUITE 115
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City | WATERFORD
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State | MI
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Zip | 48328-2167
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Country | US
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Telephone | 248-681-3555
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Fax | 248-681-9809
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Provider Business Mailing Address
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Address Line | PO BOX 7247
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-7247
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Country | US
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Telephone | 248-681-3555
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Fax | 248-681-9809
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Authorized Official
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Title or Position | M.D.
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Name | THABET R ABBARAH
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Credential |
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Telephone | 248-681-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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