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General NPI Number Information
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NPI Number | 1558737981
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Entity Type | Individual
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Provider Name | WAHEED ABDUL MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1000 E MOUNTAIN BLVD
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City | WILKES BARRE
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State | PA
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Zip | 18711-0027
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Country | US
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Telephone | 570-808-7399
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Fax | 570-808-5942
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-4903
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Country | US
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Telephone | 570-214-9585
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Fax | 570-214-9519
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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 | FA7709453
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD484209
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License Number State | PA
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