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General NPI Number Information
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NPI Number | 1669376828
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Entity Type | Organization
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Legal Business Name | ATLAS RHEUMATOLOGY, P.C.
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/04/2026
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Provider Practice Location Address
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Address Line | 409 SECOND AVE STE 100
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-3625
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Country | US
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Telephone | 484-285-5216
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Fax |
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Provider Business Mailing Address
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Address Line | 130 W MAIN ST STE 144 PMB 102
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City | TRAPPE
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State | PA
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Zip | 19426-2054
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SHADY ABDELBAKI
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Credential | M.D.
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Telephone | 708-501-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State | NULL
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