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General NPI Number Information
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NPI Number | 1821140740
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Entity Type | Organization
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Legal Business Name | ABDUL WAHEED, M.D., INC.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2031 W ALAMEDA AVE SUITE 214
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City | BURBANK
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State | CA
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Zip | 91506-2958
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Country | US
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Telephone | 818-955-5140
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Fax | 818-955-8947
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Provider Business Mailing Address
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Address Line | 2031 W ALAMEDA AVE SUITE 214
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City | BURBANK
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State | CA
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Zip | 91506-2958
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Country | US
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Telephone | 818-955-5140
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Fax | 818-955-8947
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABDUL WAHEED
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Credential | M.D.
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Telephone | 818-955-5140
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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 | A29633
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License Number State | CA
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