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NPI Code Detail

MEDICARE: DR. JULIANNA HACSKAGLO ABERNETHY DDS

MEDICARE: DR. JULIANNA HACSKAGLO ABERNETHY DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry7945NC

General Provider Information

NPI Number : 1588747745
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIANNA HACSKAGLO ABERNETHY DDS
Provider Business Mailing Address
First Line : 11228 CONLEY COVE CT
Second Line :
City : RALEIGH
State : NC
Zip : 27613
Country : US
Telephone Number : 919-846-4088
Fax Number :
Provider Business Practice Location Address
First Line : 1111 S POLLOCK ST
Second Line :
City : SELMA
State : NC
Zip : 27576-2933
Country : US
Telephone Number : 919-965-2552
Fax Number : 919-965-2524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 07/08/2007

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