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General NPI Number Information
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NPI Number | 1770014177
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Entity Type | Individual
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Provider Name | HOSSAM JABBOUR M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 750 MORTON BLVD
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City | HAZARD
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State | KY
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Zip | 41701
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Country | US
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Telephone | 606-439-3557
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Fax | 606-436-6988
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Provider Business Mailing Address
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Address Line | 801 EASTERN BYP
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City | RICHMOND
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State | KY
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Zip | 40475-2751
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Country | US
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Telephone | 859-625-3603
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Fax | 859-625-3757
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 53346
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 53346
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 53346
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License Number State | KY
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