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General NPI Number Information
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NPI Number | 1659725539
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Entity Type | Individual
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Provider Name | AZZA ABDALLA
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Gender | Female
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 417 S KING ST
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City | SEGUIN
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State | TX
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Zip | 78155-5838
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Country | US
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Telephone | 830-372-2791
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Fax |
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Provider Business Mailing Address
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Address Line | 417 S KING ST
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City | SEGUIN
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State | TX
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Zip | 78155-5838
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Country | US
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Telephone | 830-372-2791
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | V9538
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License Number State | TX
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