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General NPI Number Information
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NPI Number | 1851437107
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Entity Type | Individual
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Provider Name | ABDALLAH K ALAMEDDINE MD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 759 CHESTNUT ST
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City | SPRINGFIELD
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State | MA
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Zip | 01199-1001
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Country | US
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Telephone | 603-253-8987
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Fax | 603-253-8988
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Provider Business Mailing Address
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Address Line | PO BOX 1139
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City | MELROSE
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State | MA
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Zip | 02176
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Country | US
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Telephone | 603-253-8987
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Fax | 603-253-8988
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 55572
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 55572
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License Number State | MA
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