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General NPI Number Information
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NPI Number | 1679351092
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Entity Type | Individual
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Provider Name | AHMAD Y ABDELGHANI PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 1365 WILEY RD STE 149
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City | SCHAUMBURG
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State | IL
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Zip | 60173-4357
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Country | US
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Telephone | 847-490-0060
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Fax | 630-931-3330
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Provider Business Mailing Address
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Address Line | 1345 WILEY RD STE 111
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City | SCHAUMBURG
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State | IL
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Zip | 60173-4356
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Country | US
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Telephone | 847-490-0060
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Fax | 630-931-3330
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 085.011067
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 7630-23
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License Number State | WI
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