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General NPI Number Information
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NPI Number | 1588341556
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Entity Type | Individual
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Provider Name | MUHAMMAD ABBAS
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Gender | Male
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 2 MEMORIAL DRIVE MEDICAL OFFICE BUILDING A, SUITE 220
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City | ALTON
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State | IL
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Zip | 62002-6705
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Country | US
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Telephone | 618-474-1723
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Fax | 618-433-6299
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Provider Business Mailing Address
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Address Line | #4 MEMORIAL DRIVE MEDICAL OFFICE BUILDING B, SUITE 115
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City | ALTON
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State | IL
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Zip | 62002-6705
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Country | US
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Telephone | 618-468-1523
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 125.081636
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License Number State | IL
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