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General NPI Number Information
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NPI Number | 1972811966
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Entity Type | Individual
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Provider Name | ALAIN ELIAS ABDO
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Gender | Male
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 900 S CATON AVE
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City | BALTIMORE
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State | MD
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Zip | 21229-5201
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Country | US
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Telephone | 410-368-2718
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 SAINT PAUL ST APPT. 924
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City | BALTIMORE
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State | MD
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Zip | 21218-2703
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Country | US
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Telephone | 860-402-0122
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | P25905
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License Number State | MD
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