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General NPI Number Information
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NPI Number | 1750270575
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Entity Type | Individual
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Provider Name | EMAN ABDELGADIR MBBS
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 4590 NASH WAY
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1020
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Country | US
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Telephone | 314-454-8087
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Fax |
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Provider Business Mailing Address
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Address Line | 2 N EUCLID AVE APT 3RDN2N
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1511
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Country | US
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Telephone | 507-884-0254
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 2025025229
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License Number State | MO
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