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General NPI Number Information
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NPI Number | 1679884977
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Entity Type | Individual
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Provider Name | RANY TALAL ABDALLAH MD, PHD, MBA
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Gender | Male
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 100 BECKS WOODS DR STE 201
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City | BEAR
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State | DE
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Zip | 19701-3835
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Country | US
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Telephone | 855-932-7426
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Fax |
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Provider Business Mailing Address
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Address Line | 100 BECKS WOODS DR STE 201
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City | BEAR
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State | DE
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Zip | 19701-3835
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Country | US
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Telephone | 855-932-7426
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Fax | 833-392-7426
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD25629
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 042-0014502
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 125062215
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD457924
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 310833-01
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 25MA11040500
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | C1-0013736
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License Number State | DE
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Taxonomy #8
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | C1-0013736
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License Number State | DE
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