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General NPI Number Information
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NPI Number | 1710780556
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Entity Type | Individual
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Provider Name | ABDELAZEEM ELBEIH
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Gender | Male
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 730 1ST ST SW APT 2
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City | ROCHESTER
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State | MN
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Zip | 55902-6292
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Country | US
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Telephone | 507-271-7785
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Fax |
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Provider Business Mailing Address
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Address Line | 573 BLOOM ST APT 101
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City | DANVILLE
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State | PA
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Zip | 17821-1694
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Country | US
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Telephone | 507-271-7785
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT234136
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License Number State | PA
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