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General NPI Number Information
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NPI Number | 1598251282
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Entity Type | Individual
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Provider Name | MOHAMMAD BASSAM ASAD ABDALLAH MBBS
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Gender | Male
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 5 N LA PLATA CT STE 202
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City | LA PLATA
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State | MD
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Zip | 20646-5208
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Country | US
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Telephone | 301-609-4276
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Fax | 240-448-3117
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Provider Business Mailing Address
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Address Line | 5 N LA PLATA CT STE 202 SUITE 202
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City | LA PLATA
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State | MD
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Zip | 20646-5208
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Country | US
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Telephone | 301-609-4276
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Fax | 240-448-3117
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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 | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | 25MA11091200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D0102075
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2022023943
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10063898
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License Number State | TX
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