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General NPI Number Information
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NPI Number | 1932692746
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Entity Type | Individual
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Provider Name | ADIB RUSHDAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 951 N 6TH ST STE 221
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City | READING
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State | PA
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Zip | 19601-1836
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Country | US
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Telephone | 484-207-2000
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Fax | 484-245-5375
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Provider Business Mailing Address
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Address Line | PO BOX 746721
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City | ATLANTA
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State | GA
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Zip | 30374-6721
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Country | US
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Telephone | 312-733-9730
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Fax | 773-866-8014
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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 | 036157634
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License Number State | IL
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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 | MT215738
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License Number State | PA
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