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General NPI Number Information
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NPI Number | 1700683836
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Entity Type | Individual
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Provider Name | ABDI KASIM
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Gender | Male
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 510 S HAMILTON RD APT 23
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City | COLUMBUS
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State | OH
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Zip | 43213-2075
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Country | US
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Telephone | 614-806-5315
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Fax |
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Provider Business Mailing Address
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Address Line | 5909 MAIN ST NE
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City | FRIDLEY
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State | MN
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Zip | 55432-5442
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Country | US
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Telephone | 404-860-9503
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 3256HHN
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License Number State | OH
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