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General NPI Number Information
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NPI Number | 1750887592
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Entity Type | Individual
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Provider Name | HANEEN ABDALHADI MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 6861 VILLAGREEN VW
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City | ROCKFORD
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State | IL
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Zip | 61107-5639
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Country | US
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Telephone | 779-696-1815
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Fax |
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Provider Business Mailing Address
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Address Line | 3719 DAUPHIN ST
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City | MOBILE
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State | AL
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Zip | 36608-1753
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Country | US
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Telephone | 251-410-4095
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.42865
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 036168685
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License Number State | IL
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