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General NPI Number Information
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NPI Number | 1780178889
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Entity Type | Individual
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Provider Name | WASSIM ABDALLAH MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1364 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30322-1059
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Country | US
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Telephone | 404-712-2000
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Fax | 404-880-9305
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Provider Business Mailing Address
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Address Line | 49 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3049
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Country | US
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Telephone | 404-251-8703
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Fax | 404-880-9305
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 14131
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 103631
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License Number State | GA
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