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General NPI Number Information
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NPI Number | 1932337649
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Entity Type | Individual
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Provider Name | HEERAN ABAWI M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 3050 MACK RD STE 205
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City | FAIRFIELD
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State | OH
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Zip | 45014-5379
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Country | US
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Telephone | 513-682-6980
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Fax | 513-981-5783
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Provider Business Mailing Address
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Address Line | 3050 MACK RD STE 205
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City | FAIRFIELD
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State | OH
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Zip | 45014-5379
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Country | US
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Telephone | 513-682-6980
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Fax | 513-981-5783
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.128399
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R71616
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License Number State | AZ
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