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General NPI Number Information
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NPI Number | 1790059848
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Entity Type | Organization
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Legal Business Name | ABDUL S THANNOUN MD PA
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 603 QUAIL CREEK DR SPC 300
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City | AMARILLO
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State | TX
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Zip | 79124-1647
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Country | US
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Telephone | 806-354-2400
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Fax | 806-354-8070
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Provider Business Mailing Address
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Address Line | PO BOX 50840
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City | AMARILLO
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State | TX
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Zip | 79159-0840
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Country | US
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Telephone | 806-354-2400
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Fax | 806-354-8070
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Authorized Official
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Title or Position | OWNER
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Name | DR. ABDUL S THANNOUN
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Credential | M.D.
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Telephone | 806-354-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | J0308
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License Number State | TX
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