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General NPI Number Information
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NPI Number | 1750556700
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Entity Type | Organization
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Legal Business Name | M H AL RABBAT MD PC
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 115 DUNWOODY CREEK CT
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City | ATLANTA
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State | GA
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Zip | 30350-4318
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Country | US
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Telephone | 770-379-0450
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Fax | 770-379-9203
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Provider Business Mailing Address
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Address Line | 115 DUNWOODY CREEK CT
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City | ATLANTA
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State | GA
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Zip | 30350-4318
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Country | US
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Telephone | 770-379-0450
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Fax | 770-379-9203
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMMED H AL RABBAT
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Credential | MD
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Telephone | 770-379-0450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 029572
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License Number State | GA
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