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General NPI Number Information
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NPI Number | 1760882633
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Entity Type | Individual
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Provider Name | EMILE ABDO
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Gender | Male
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 05/18/2018
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Provider Practice Location Address
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Address Line | 3408 OAK LAWN AVE
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City | DALLAS
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State | TX
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Zip | 75219-4214
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Country | US
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Telephone | 214-935-9092
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 BROADWAY
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-4534
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS52375
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License Number State | FL
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